Individual provider Active NPI

Janet A Kwateng, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1093746869
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1469252 Issued in FL
Practice address
225 S Congress Ave
Delray Beach, FL 33445-4616
Phone
(561) 274-3100
Fax
(561) 274-3144
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1469252 FL Primary

Addresses

Primary practice location

225 S Congress Ave
Delray Beach, FL 33445-4616

Mailing address

2830 Sabalwood CT
Delray Beach, FL 33445-7153
Phone (156) 149-9022

Other identifiers 2

IdentifierTypeStateIssuer
034250500MedicaidFL
AK9294527OtherFLPRESCRIPTION

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)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1469252FLMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1093746869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 SABALWOOD CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457153",
            "telephone_number": "156-149-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454616",
            "telephone_number": "561-274-3100",
            "fax_number": "561-274-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWATENG",
        "first_name": "JANET",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "1469252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034250500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTION",
            "identifier": "AK9294527",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.