Organization Active NPI

Brevard First Assistants, Inc.

  • Perioperative Clinical Nurse Specialist
  • Port St John, FL
National Provider Identifier
1013005008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perioperative Clinical Nurse SpecialistTaxonomy code 364SP2800X
License
2961272 Issued in FL
Legal business name
BREVARD FIRST ASSISTANTS, INC.
Practice address
5190 Cinnamon Fern Blvd
Port St John, FL 32927-3403
Phone
(321) 637-0553
Fax
(321) 637-0552
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kelli Strobel, RN, RNFA, CNOR, ONCNPI 1457374985
Title
President
Phone
(321) 637-0553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perioperative Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SP2800X 2961272 FL Primary

Addresses

Primary practice location

5190 Cinnamon Fern Blvd
Port St John, FL 32927-3403

Mailing address

5190 Cinnamon Fern Blvd
Port St John, FL 32927-3403
Phone (321) 637-0553

Other identifiers 1

IdentifierTypeStateIssuer
2961272OtherFLFLORIDA NURSING LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013005008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 CINNAMON FERN BLVD",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329273403",
            "telephone_number": "321-637-0553",
            "fax_number": "321-637-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 CINNAMON FERN BLVD",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329273403",
            "telephone_number": "321-637-0553",
            "fax_number": "321-637-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD FIRST ASSISTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STROBEL",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-637-0553",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, RNFA, CNOR, ONC"
    },
    "taxonomies": [
        {
            "code": "364SP2800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "FL",
            "license": "2961272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA NURSING LICENSE",
            "identifier": "2961272",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St John, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.