Active NPI
Fatma A Naiem, RDH
- Dental Hygienist
- Port St Lucie, FL
National Provider Identifier
1316412216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 19581
- Practice address
- 537 NW Lake Whitney PL Ste 101
Port St Lucie, FL 34986-1620 - Phone
- (772) 462-3874
- NPI assigned
- Oct 6, 2018
- Last updated
- Oct 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 19581 | FL | Primary |
Addresses
Primary practice location
537 NW Lake Whitney PL Ste 101
Port St Lucie, FL 34986-1620
Mailing address
537 NW Lake Whitney PL Ste 101
Port St Lucie, FL 34986-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19581 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538784000000",
"number": "1316412216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 NW LAKE WHITNEY PL STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 NW LAKE WHITNEY PL STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861620",
"telephone_number": "772-462-3874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIEM",
"first_name": "FATMA",
"middle_name": "A",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-06",
"last_updated": "2018-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "19581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.