Active NPI
First Assistant, PRN
- Registered Nurse First Assistant
- Plantation, FL
National Provider Identifier
1205029444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN3409512
- Legal business name
- FIRST ASSISTANT, PRN
- Practice address
- 12001 NW 5TH CT
Plantation, FL 33325-1817 - Phone
- (954) 474-6755
- Fax
- (954) 916-6449
- NPI assigned
- Aug 21, 2007
- Last updated
- Aug 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Keyes, RNFA
- Title
- Regestered Nurse First Assistant
- Phone
- (954) 474-6755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN3409512 | FL | Primary |
Addresses
Primary practice location
12001 NW 5TH CT
Plantation, FL 33325-1817
Mailing address
12001 NW 5TH CT
Plantation, FL 33325-1817
Phone (954) 474-6755
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187654400000",
"number": "1205029444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 NW 5TH CT",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333251817",
"telephone_number": "954-474-6755",
"fax_number": "954-916-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 NW 5TH CT",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333251817",
"telephone_number": "954-474-6755",
"fax_number": "954-916-6449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST ASSISTANT, PRN",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A",
"authorized_official_last_name": "KEYES",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "REGESTERED NURSE FIRST ASSISTANT",
"authorized_official_telephone_number": "954-474-6755",
"authorized_official_credential": "RNFA"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "FL",
"license": "RN3409512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
- Nora Figueroa, FNP
- Yesenia Toro Fike, PHARMD
- Tami Fikstad, NP
- Heidi R Finkelstein, D.M.D
- Edward Fiore, O.T., C.H.T.
- First Care Health LLC (Casablanca Elite Adult Care)
- First Class Hearing Care Outreach Corporation (First Class Hearing Care Outreach)
- Kimberly Fisher, PTA
- Stacey Fisher
- Dean L Fishman, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.