Organization Active NPI

Infectious Disease Consultants, LLC

  • Skilled Nursing Facility
  • Fort Pierce, FL
National Provider Identifier
1225524259
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
9272218 Issued in FL
Legal business name
INFECTIOUS DISEASE CONSULTANTS, LLC
Practice address
13 Harbour Isle Dr W PH 2
Fort Pierce, FL 34949-2765
Phone
(772) 708-8077
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Lisa R Cason-Noble, ARNP
Title
Arnp
Phone
(772) 708-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 9272218 FL Primary

Addresses

Primary practice location

13 Harbour Isle Dr W PH 2
Fort Pierce, FL 34949-2765

Mailing address

13 Harbour Isle Dr W PH 2
Fort Pierce, FL 34949-2765
Phone (772) 708-8077

Other practice location 1

700 S 29th St
Fort Pierce, FL 34947-3626
Phone (772) 465-7560

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCFFAA

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1225524259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HARBOUR ISLE DR W PH 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349492765",
            "telephone_number": "772-708-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HARBOUR ISLE DR W PH 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349492765",
            "telephone_number": "772-708-8077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S 29th St",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349473626",
            "country_code": "US",
            "telephone_number": "772-465-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "CASON-NOBLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "772-708-8077",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "9272218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.