Active NPI
Pauline Virgo Canion
- Licensed Practical Nurse
- North Lauderdale, FL
National Provider Identifier
1093299646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN1235271
- Practice address
- 840 SW 81St Ave
Ste 303H
North Lauderdale, FL 33068 - Phone
- (954) 588-3708
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN1235271 | FL | Primary |
Addresses
Primary practice location
840 SW 81St Ave
Ste 303H
North Lauderdale, FL 33068
Mailing address
840 SW 81St Ave
Ste 303H
North Lauderdale, FL 33068
Phone (954) 588-3708
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN1235271 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1093299646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 SW 81ST AVE",
"address_2": "STE 303H",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "33068",
"telephone_number": "954-588-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 SW 81ST AVE",
"address_2": "STE 303H",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "33068",
"telephone_number": "954-588-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRGO CANION",
"first_name": "PAULINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN1235271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.