Individual provider Active NPI

Andrew Jonathan Florence, RN

  • Registered Nurse
  • Edinburg, TX
National Provider Identifier
1326548629
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
777661 Issued in TX
Practice address
2609 Nessuh Ave
Edinburg, TX 78541-4814
Phone
(956) 630-1116
Fax
(877) 626-0431
NPI assigned
Feb 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 777661 TX Primary

Addresses

Primary practice location

2609 Nessuh Ave
Edinburg, TX 78541-4814

Mailing address

2609 Nessuh Ave
Edinburg, TX 78541-4814
Phone (956) 630-1116

Other practice location 1

1701 Terrace Dr
Mission, TX 78572-3143
Phone (956) 251-5027

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
777661TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326548629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 NESSUH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414814",
            "telephone_number": "956-630-1116",
            "fax_number": "877-626-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 NESSUH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414814",
            "telephone_number": "956-630-1116",
            "fax_number": "877-626-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723143",
            "country_code": "US",
            "telephone_number": "956-251-5027",
            "fax_number": "877-626-0431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "ANDREW",
        "middle_name": "JONATHAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "777661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.