Individual provider Active NPI

Christabelle Quadros

  • Registered Nurse
  • Fort Pierce, FL
National Provider Identifier
1184062143
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9395310 Issued in FL
Practice address
4500 West Midway Rd
New Horizons of the Treasure Coast
Fort Pierce, FL 34981
Phone
(772) 672-8480
Fax
(772) 467-5522
NPI assigned
Jun 11, 2013
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Registered Nurse 163W00000X RN9395310 FL Primary

Addresses

Primary practice location

4500 West Midway Rd
New Horizons of the Treasure Coast
Fort Pierce, FL 34981

Mailing address

17 Del Sol
Port St.Lucie, FL 34952
Phone (772) 301-1076

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
RN9395310FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1184062143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DEL SOL",
            "city": "PORT ST.LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-301-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 WEST MIDWAY RD",
            "address_2": "NEW HORIZONS OF THE TREASURE COAST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34981",
            "telephone_number": "772-672-8480",
            "fax_number": "772-467-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADROS",
        "first_name": "CHRISTABELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9395310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.