Organization Active NPI

Gulf Coast Family Care, PLC

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1225442676
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2617642 Issued in FL
Legal business name
GULF COAST FAMILY CARE, PLC
Practice address
814 SW Pine Island Road
Suite 306
Cape Coral, FL 33991
Phone
(239) 829-0280
Fax
(239) 829-0315
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Deborah Walker, ARNP
Title
Owner / Nurse Practitioner
Phone
(239) 829-0280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X ARNP 9166450 FL
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X ARNP2617642 FL Primary

Addresses

Primary practice location

814 SW Pine Island Road
Suite 306
Cape Coral, FL 33991

Mailing address

814 SW Pine Island Rd.
Suite 306
Cape Coral, FL 33991
Phone (239) 829-0280

National Provider Directory

National Provider Directory

Locations

814 SW Pine Island Rd
Ste 306
Cape Coral, FL 33991
Phone (239) 829-0280

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1225442676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SW PINE ISLAND RD.",
            "address_2": "SUITE 306",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33991",
            "telephone_number": "239-829-0280",
            "fax_number": "239-829-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SW PINE ISLAND ROAD",
            "address_2": "SUITE 306",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33991",
            "telephone_number": "239-829-0280",
            "fax_number": "239-829-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST FAMILY CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER / NURSE PRACTITIONER",
        "authorized_official_telephone_number": "239-829-0280",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9166450",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2617642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.