Active NPI
Richard Avitabile
- Nurse's Aide
- Jupiter, FL
National Provider Identifier
1023206141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA93563
- Practice address
- 17909 Thelma Ave
Apt E
Jupiter, FL 33458-7962 - Phone
- (561) 575-6450
- NPI assigned
- Oct 15, 2007
- Last updated
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA93563 | FL | Primary |
Addresses
Primary practice location
17909 Thelma Ave
Apt E
Jupiter, FL 33458-7962
Mailing address
17909 Thelma Ave
Apt E
Jupiter, FL 33458-7962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA93563 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1023206141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17909 THELMA AVE",
"address_2": "APT E",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17909 THELMA AVE",
"address_2": "APT E",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587962",
"telephone_number": "561-575-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVITABILE",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA93563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.