Individual provider Active NPI

Ludner Henri Sr., CNA212386

  • Nurse's Aide
  • Port Saint Lucie, FL
National Provider Identifier
1144627894
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA212386 Issued in FL
Practice address
841 SW Durham Terr
Port Saint Lucie, FL 34953
Phone
(832) 289-3730
Fax
(772) 618-6561
NPI assigned
Nov 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CNA212386 FL Primary

Addresses

Primary practice location

841 SW Durham Terr
Port Saint Lucie, FL 34953

Mailing address

841 SW Durham Ter
Port Saint Lucie, FL 34953-1547
Phone (832) 289-3730

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

LicenseStateTypeSpecialty
CNA212386FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1144627894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 SW DURHAM TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531547",
            "telephone_number": "832-289-3730",
            "fax_number": "772-618-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SW DURHAM TERR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "832-289-3730",
            "fax_number": "772-618-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRI",
        "first_name": "LUDNER",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CNA212386",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA212386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.