All Access Mobile Hemodialysis,LLC

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

License

RN1612642 Issued in FL

Legal business name

ALL ACCESS MOBILE HEMODIALYSIS,LLC

Practice address

100 Opal Hill Cir
Daytona Beach, FL 32124-2018

Phone

(800) 381-7639

Fax

(800) 381-7639

NPI assigned

Sep 28, 2012

Organization subpart

Yes

Parent organization

ALL ACCESS MOBILE HEMODIALYSIS,LLCAs reported in NPPES

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

Authorized official

Name

Mr. Roberto Donald Barragan III

Title

Ceo

Phone

(800) 381-7639

Specialties & licenses 11

Addresses

Other names 1

• N'balance Other name

Part of

All Access Mobile Hemodialysisllc

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356998400000",
    "number": "1063763159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11434",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321201434",
            "telephone_number": "800-381-7639",
            "fax_number": "800-381-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OPAL HILL CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321242018",
            "telephone_number": "800-381-7639",
            "fax_number": "800-381-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ACCESS MOBILE HEMODIALYSIS,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALL ACCESS MOBILE HEMODIALYSIS,LLC",
        "enumeration_date": "2012-09-28",
        "last_updated": "2013-01-01",
        "status": "A",
        "authorized_official_last_name": "BARRAGAN",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-381-7639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1612642",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN1612642",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "FL",
            "license": "RN1612642",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN1612642",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "FL",
            "license": "RN1612642",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "FL",
            "license": "RN1612642",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "FL",
            "license": "RN1612642",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": "FL",
            "license": "RN1612642",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2472R0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N'balance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lubna Alhalaseh, DDS
• Luz M Alicea Berrios, MD
• Jasim Amir Alidina, MD
• Abdelrahman M Aljadi, MD
• Suha Alkadry, MD
• All Family Clinic of Daytona Beach, Inc
• All Injury & Diagnostic Clinic LLC
• Allison Marie Allard, ARNP
• Allen Hearing
• Toni Allen, PTA

• Registered Nurse in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; 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.