Organization Active NPI

Family First Community Outreach Services

  • Community Health Registered Nurse
  • Wellington, FL
National Provider Identifier
1164956561
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
FAMILY FIRST COMMUNITY OUTREACH SERVICES
Practice address
2006 Cross Breeze Dr
Wellington, FL 33414-8075
Phone
(561) 320-4053
NPI assigned
Apr 12, 2017
Last updated
Jan 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Christiane Previlma, RN/MSNPI 1346773900
Title
Ceo
Phone
(561) 320-4053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X NU Primary
Lactation Consultant (Registered Nurse) 163WL0100X NU
Pediatric Registered Nurse 163WP0200X NU
Pediatric Clinical Nurse Specialist 364SP0200X NU

Addresses

Primary practice location

2006 Cross Breeze Dr
Wellington, FL 33414-8075

Mailing address

14611 Southern Blvd Unit 412
Loxahatchee, FL 33470-6819
Phone (561) 320-4053

Other practice location 1

6810 N State Road 7
Coconut Creek, FL 33073-4304
Phone (561) 361-9497

National Provider Directory

National Provider Directory

Locations

14611 Southern Blvd
Unit 412
Loxahatchee, FL 33470

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1164956561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14611 SOUTHERN BLVD UNIT 412",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334706819",
            "telephone_number": "561-320-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 CROSS BREEZE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148075",
            "telephone_number": "561-320-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330734304",
            "country_code": "US",
            "telephone_number": "561-361-9497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FIRST COMMUNITY OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "PREVILMA",
        "authorized_official_first_name": "CHRISTIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-320-4053",
        "authorized_official_credential": "RN/MS"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.