Individual provider Active NPI

Sanaydade Manneus Quirion

  • Registered Nurse
  • Port Saint Lucie, FL
National Provider Identifier
1073117362
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9531870 Issued in FL
Practice address
2120 SW Wayne St
Port Saint Lucie, FL 34984-4343
Phone
(561) 685-4737
NPI assigned
Nov 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN9531870 FL
Registered Nurse 163W00000X RN9531870 FL Primary

Addresses

Primary practice location

2120 SW Wayne St
Port Saint Lucie, FL 34984-4343

Mailing address

2120 SW Wayne St
Port Saint Lucie, FL 34984-4343
Phone (561) 685-4737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9531870FLMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1073117362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SW WAYNE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844343",
            "telephone_number": "561-685-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SW WAYNE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844343",
            "telephone_number": "561-685-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRION",
        "first_name": "SANAYDADE",
        "middle_name": "MANNEUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9531870",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9531870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; 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.