Organization Active NPI

Ivibes Lounge LLC

  • Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1295650224
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IVIBES LOUNGE LLC
Practice address
2036 NE 18TH St
Fort Lauderdale, FL 33305-2508
Phone
(954) 909-8386
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Stephanie Kissoon, RNNPI 1043037856
Title
Co-Owner
Phone
(954) 909-8386

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2036 NE 18TH St
Fort Lauderdale, FL 33305-2508

Mailing address

1305 NE 12TH St
Fort Lauderdale, FL 33304-2256
Phone (954) 909-8386

National Provider Directory

National Provider Directory

Locations

2036 NE 18th St
Fort Lauderdale, FL 33305

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": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1295650224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 NE 12TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042256",
            "telephone_number": "954-909-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 NE 18TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052508",
            "telephone_number": "954-909-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVIBES LOUNGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "KISSOON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "954-909-8386",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.