Organization Active NPI

Agape Mobile Medicine

  • Adult Health Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1043957350
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
AGAPE MOBILE MEDICINE
Practice address
2050 Oleander Blvd Apt 1-203
Fort Pierce, FL 34950-5315
Phone
(772) 834-1024
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Mrs. Rebecca Lurie, APRN
Title
Aprn
Phone
(877) 724-2736

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary
Gerontology Nurse Practitioner 363LG0600X
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

2050 Oleander Blvd Apt 1-203
Fort Pierce, FL 34950-5315

Mailing address

2050 Oleander Blvd Apt 1-203
Fort Pierce, FL 34950-5315
Phone (877) 724-2736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1043957350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 OLEANDER BLVD APT 1-203",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505315",
            "telephone_number": "877-724-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 OLEANDER BLVD APT 1-203",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505315",
            "telephone_number": "772-834-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MOBILE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "LURIE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "877-724-2736",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.