Active NPI
Crystal-Ann Radica England
- Marriage & Family Therapist
- Pembroke Pines, FL
National Provider Identifier
1124604269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3088
- Practice address
- 948 SW 147TH Ave
Pembroke Pines, FL 33027-6130 - Phone
- (954) 643-1182
- NPI assigned
- Mar 19, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT3088 | FL | Primary |
Addresses
Primary practice location
948 SW 147TH Ave
Pembroke Pines, FL 33027-6130
Mailing address
948 SW 147TH Ave
Pembroke Pines, FL 33027-6130
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 |
|---|---|---|---|
| MT3088 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1124604269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 SW 147TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 SW 147TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276130",
"telephone_number": "954-643-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLAND",
"first_name": "CRYSTAL-ANN",
"middle_name": "RADICA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.