Jna Riverview Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JNA RIVERVIEW INC

Practice address

1860 SW Fountainview Blvd
Port St Lucie, FL 34986-4535

Phone

(772) 204-5110

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Aldene Codling, NURSE PRACTITIONER

Title

President

Phone

(772) 204-5110

Specialties & licenses 1

Addresses

Other names 1

• Acod Medical Solutions Doing business as

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1043974264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864528",
            "telephone_number": "772-204-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "772-204-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNA RIVERVIEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "CODLING",
        "authorized_official_first_name": "ALDENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-204-5110",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acod Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acod Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.