Organization Active NPI

First Assistant, PRN

  • Registered Nurse First Assistant
  • Plantation, FL
National Provider Identifier
1205029444
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN3409512 Issued in FL
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.