Active NPI
Excellent Ultimate Medical Center, PLLC
- Family Nurse Practitioner
- Belle Glade, FL
National Provider Identifier
1063134062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EXCELLENT ULTIMATE MEDICAL CENTER, PLLC
- Practice address
- 624 S Main St # 2
Belle Glade, FL 33430-3916 - Phone
- (866) 410-1413
- NPI assigned
- Sep 15, 2022
- Last updated
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tania Alicia Ritchie
- Title
- FNP
- Phone
- (866) 410-1413
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
624 S Main St # 2
Belle Glade, FL 33430-3916
Mailing address
624 S Main St # 2
Belle Glade, FL 33430-3916
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Belle Glade, FL
- NPI 1174055248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1063134062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 S MAIN ST # 2",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334303916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 S MAIN ST # 2",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334303916",
"telephone_number": "866-410-1413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENT ULTIMATE MEDICAL CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-15",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A",
"authorized_official_last_name": "RITCHIE",
"authorized_official_first_name": "TANIA",
"authorized_official_middle_name": "ALICIA",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "866-410-1413"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belle Glade, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.