Nyspyer2 Skilled Nursing Service LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

NYSPYER2 SKILLED NURSING SERVICE LLC

Practice address

5805 NW 27TH St
Gainesville, FL 32653-1942

Phone

(352) 246-5355

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Sharon Denise Fort, PN997881

Title

Licensed Practical Nurse

Phone

(352) 246-5355

Specialties & licenses 1

Addresses

Other names 1

• Nyspyer2 Skilled Nursing Service LLC Former legal business name

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1174349625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 NW 27TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326531942",
            "telephone_number": "352-246-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 NW 27TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326531942",
            "telephone_number": "352-246-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSPYER2 SKILLED NURSING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "352-246-5355",
        "authorized_official_credential": "PN997881"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nyspyer2 Skilled Nursing Service LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• NW 10TH Place Opco LLC
• NXRX Solutions, LLC.
• Richard Nyarko Kusi
• Kevin Paul Nygard, D.D.S.
• Dorette Marie Nysewander, EDD
• Mary Elaine Nyssen
• Janice O'Brien
• Kathleen Isabel O'Brien, LMT
• Kennith J O'Brien
• Corrina O'Bright-Kelly

• Licensed Practical Nurse in Gainesville, FL
• Providers in Gainesville, 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 Dec 2, 2024; 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.