Active NPI
Rectal Relief Center
- Family Nurse Practitioner
- Loxahatchee, FL
National Provider Identifier
1215190459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3357122
- Legal business name
- RECTAL RELIEF CENTER
- Practice address
- 13005 Southern Blvd Ste 122
Suite 122 Medical Mall One
Loxahatchee, FL 33470-9231 - Phone
- (561) 842-5050
- Fax
- (561) 793-9989
- NPI assigned
- Jul 8, 2008
- 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
- Ms. Sheri Shannon Grisso, ARNP
- Title
- President
- Phone
- (561) 842-5050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3357122 | FL | Primary |
Addresses
Primary practice location
13005 Southern Blvd Ste 122
Suite 122 Medical Mall One
Loxahatchee, FL 33470-9231
Mailing address
13005 Southern Blvd Ste 122
Suite 122 Medical Mall One
Loxahatchee, FL 33470-9231
Phone (561) 842-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1701 SE Hillmoor Dr
Unit 14
Port Saint Lucie, FL 34952
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Loxahatchee, FL
- NPI 1801058052
-
- Colon & Rectal Surgery Physician
- Loxahatchee, FL
- NPI 1942293519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320364800000",
"number": "1215190459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13005 SOUTHERN BLVD STE 122",
"address_2": "SUITE 122 MEDICAL MALL ONE",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709231",
"telephone_number": "561-842-5050",
"fax_number": "561-793-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13005 SOUTHERN BLVD STE 122",
"address_2": "SUITE 122 MEDICAL MALL ONE",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709231",
"telephone_number": "561-842-5050",
"fax_number": "561-793-9989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECTAL RELIEF CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-08",
"last_updated": "2011-11-04",
"status": "A",
"authorized_official_last_name": "GRISSO",
"authorized_official_first_name": "SHERI",
"authorized_official_middle_name": "SHANNON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-842-5050",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3357122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.