Organization Active NPI

Excellent Ultimate Medical Center, PLLC

  • Family Nurse Practitioner
  • Belle Glade, FL
National Provider Identifier
1063134062
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Tania Alicia RitchieNPI 1174055248
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.