PRN of NW Florida Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP2210632 Issued in FL

Legal business name

PRN OF NW FLORIDA INC

Practice address

2 Sugar Bowl Lane
Pensacola, FL 32561

Phone

(850) 723-6271

Fax

(850) 916-0788

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

James C Chaney Jr., ARNPNPI 1023047446

Title

Owner

Phone

(850) 916-0788

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James C Chaney, A.R.N.P.

  • Nurse Practitioner
  • Pensacola Beach, FL
  • NPI 1023047446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1194885350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 244",
            "city": "GONZELEZ",
            "state": "FL",
            "postal_code": "32560",
            "telephone_number": "850-723-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUGAR BOWL LANE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32561",
            "telephone_number": "850-723-6271",
            "fax_number": "850-916-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN OF NW FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-916-0788",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "ARNP 2210632",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2210632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302818600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.