Organization Active NPI

Fast Track Health LLC

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1043898190
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAST TRACK HEALTH LLC
Practice address
2102 SE 10TH Ter
Cape Coral, FL 33990-3277
Phone
(239) 322-2012
NPI assigned
Mar 31, 2021
Organization subpart
Yes
Parent organization
FAST TRACK HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Stephanie Renea Smoker, LPN
Title
Manager
Phone
(239) 560-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2102 SE 10TH Ter
Cape Coral, FL 33990-3277

Mailing address

2102 SE 10TH Ter
Cape Coral, FL 33990-3277
Phone (239) 560-7363

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.fasttrackhealth.com Direct

National Provider Directory

National Provider Directory
Part of
Fast Track Health LLC

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1043898190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 SE 10TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903277",
            "telephone_number": "239-560-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 SE 10TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903277",
            "telephone_number": "239-322-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAST TRACK HEALTH LLC",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "SMOKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-560-7363",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fasttrackhealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "2102 SE 10th Ter",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339903277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.