Organization Active NPI

Talquin Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1073283008
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TALQUIN INC
Practice address
5000 W Midway Rd
Unit 13317
Fort Pierce, FL 34981-1900
Phone
(877) 825-7846
Fax
(877) 881-1049
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Ms. Crystal Satona Quince, APRNNPI 1972605202
Title
Ceo/Owner
Phone
(772) 255-8492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5000 W Midway Rd
Unit 13317
Fort Pierce, FL 34981-1900

Mailing address

5000 W Midway Rd Unit 13317
Fort Pierce, FL 34981-8056
Phone (877) 825-7846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106002868 FL Part B Supplier - Clinic/Group Practice 0648661306 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Pierce, FL; Okeechobee, FL

National Provider Directory

National Provider Directory

Locations

5000 W Midway Rd
Unit 12190
Fort Pierce, FL 34981
Phone (772) 310-8591

5000 W Midway Rd
Unit 13317
Fort Pierce, FL 34981
Phone (877) 825-7846

5000 W Midway Rd
Unit 13317
Fort Pierce, FL 34979

417 SW Park St
Okeechobee, FL 34972
Phone (877) 825-7846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1073283008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W MIDWAY RD UNIT 13317",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349818056",
            "telephone_number": "877-825-7846",
            "fax_number": "877-881-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W MIDWAY RD",
            "address_2": "UNIT 13317",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349811900",
            "telephone_number": "877-825-7846",
            "fax_number": "877-881-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALQUIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "QUINCE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "SATONA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "772-255-8492",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.