Cina Quezada

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5204540 Issued in FL

Practice address

218 SW Third Ave
Madison, FL 32340-1266

Phone

(850) 973-5000

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)
• Florida Department of Health

  • Public Health or Welfare Agency
  • Madison, FL
  • NPI 1245200641
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1104333517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 OLD PINE RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW THIRD AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401266",
            "telephone_number": "850-973-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "CINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5204540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peacock Investment Enterprises
• Daniel B Perkins, MD
• Gena Plain, PA-C
• Jennifer Poucher
• William R. Primas, M.D.
• Martha Kelly Waldrep Reeves, ARNP
• Richard Edwards Construction
• Charlie E Richardson, M.D.
• Michele B Richardson, ARNP,FNP-BC
• Roderick K Shaw III DMD PA

• Licensed Practical Nurse in Madison, FL
• Providers in Madison, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.