Changes Family Practice Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

CHANGES FAMILY PRACTICE CLINIC

Practice address

31 W 20TH St
Riviera Beach, FL 33404-6155

Phone

(561) 899-9140

Fax

(561) 331-2715

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Angela D Engram, ARNP

Title

President

Phone

(561) 899-9140

Specialties & licenses 1

Addresses

Other names 1

• NA Former legal business name

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1316320591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 W 12TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046512",
            "telephone_number": "561-899-9140",
            "fax_number": "561-331-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 20TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046155",
            "telephone_number": "561-899-9140",
            "fax_number": "561-331-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "ENGRAM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-899-9140",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Centerpoint Medical LLC
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• Carolina Chacuto, B.S
• Cheryl Chana, ARNP
• David A Chana, RKT
• Changes Wellness & Recovery Center
• Alexandra Charles
• Yves Charles
• Sherlie Charlot
• Peng Chen, MD

• Primary Care Nurse Practitioner in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.