NURSE PRACTITIONER GROUP LLC (NPI# 1780121277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780121277 |
| Entity Type | Organization |
| Organization Name | NURSE PRACTITIONER GROUP LLC |
| Other Organization Name | MY MOBILE PRIMARY HEALTH CARE, LLC |
| Practice Address |
12380 Nw 9th St Plantation FL 33325-1305 |
| Practice Telephone | 2565089034 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | STACEY SANTIAGO (OWNER) |
| Authorized Official Telephone | 2565089034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
R185090 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 171W00000X | Contractor | ARNP9224482 | FL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| My Mobile Primary Health Care, LLC | Other Name - Individual/Organization |
| The Nurse Practitioner Group LLC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NURSE PRACTITIONER GROUP LLC, THE | 12380 Nw 9th St, Plantation, FL 33325-1305 |
| Street Address |
12380 NW 9TH ST |
| City | PLANTATION |
| State | FL |
| Zip Code | 33325-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831623578 | Catherine Nwokeafor | Nurse Practitioner | 12380 Nw 9th St, Plantation, FL 33325-1305 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273437 | Gabriela Avila- Garcia | Behavior Technician | 440 Sawgrass Corporate Parkway Suite 106, Sunrise, FL 33325 | 2020-07-27 |
| 1174002711 | Susana Potter | Counselor | 11913 Sw 13th Ct, Davie, FL 33325 | 2018-08-13 |
| 1871015701 | Veredy S.a.s LLC | Specialist/Technologist, Other | 705 Sw 148 Av Apt 202, Davie, FL 33325 | 2017-07-12 |
| 1861922205 | Veronica Ivonne Franco-saavedra | Physician Assistant | 701 Sw 148th Ave Apt 101, Davie, FL 33325 | 2017-06-18 |
| 1174052229 | Edinson Antonio Matos-moreno | Physician Assistant | 705 Sw 148th Ave Apt 202, Davie, FL 33325 | 2017-06-11 |
| 1457887523 | Caribbean Pediatrics Inc | Exclusive Provider Organization | 11750 Nw 6th Place, Plantation, FL 33325 | 2017-05-10 |
| 1639605058 | Scott Rosiere | Psychologist | 480 West Mount Vernon Drive, Plantation, FL 33325 | 2017-05-04 |
| 1457896458 | New Life Counseling Inc. | Counselor | 1775 S. Flamingo Rd, Suite 1, Davie, FL 33325 | 2016-12-29 |
| 1821541541 | Heather Contreras | Physician Assistant | 11352 W State Road 84 Unit 1, Davie, FL 33325 | 2016-07-28 |
| 1568822070 | Martha Falconi | Acupuncturist | 13224 W. Broward Blvd., Plantation, FL 33325 | 2016-02-25 |
| Find all providers in zip 33325 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164918553 | Cristian M Lopez | Contractor | 6950 Cypress Rd Ste 222, Plantation, FL 33317-2370 | 2018-07-09 |
| 1053632232 | Tricia Jo Baughman | Contractor | 450 Commodore Dr Apt 303, Plantation, FL 33325-2157 | 2010-06-22 |
| 1154665404 | Diyah Du | Contractor | 1856 N Nob Hill Rd, # 317, Plantation, FL 33322-6548 | 2012-11-26 |
| 1447287768 | Jessica Castellano | Contractor | 121 South State Road 7, Plantation, FL 33317 | 2006-06-26 |
| 1760481121 | Arlan J. Hallman | Contractor | 8148 W Broward Blvd, Plantation, FL 33324-2000 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33325 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.