Active NPI
Donna Rush P.a
- Psychiatric/Mental Health Nurse Practitioner
- Parkland, FL
National Provider Identifier
1346828886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DONNA RUSH P.A
- Practice address
- 6980 Long Leaf Dr
Parkland, FL 33076-3946 - Phone
- (305) 335-0583
- NPI assigned
- Mar 29, 2021
- Last updated
- Mar 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique Martin
- Title
- Manager
- Phone
- (561) 727-6196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6980 Long Leaf Dr
Parkland, FL 33076-3946
Mailing address
6980 Long Leaf Dr
Parkland, FL 33076-3946
Phone (305) 335-0583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1165752 | Other | FL | LICENSE NUMBER |
| 000614500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Parkland, FL
- NPI 1043379217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1346828886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6980 LONG LEAF DR",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330763946",
"telephone_number": "305-335-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6980 LONG LEAF DR",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330763946",
"telephone_number": "305-335-0583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONNA RUSH P.A",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "MONIQUE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-727-6196"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1165752",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000614500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.