Active NPI
Marie Thania Etienne
- Homemaker
- Sunrise, FL
National Provider Identifier
1356017073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 237911
- Practice address
- 2617 NW 60TH Way
Sunrise, FL 33313-2230 - Phone
- (754) 209-8735
- NPI assigned
- Aug 22, 2021
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 237911 | FL | Primary |
Addresses
Primary practice location
2617 NW 60TH Way
Sunrise, FL 33313-2230
Mailing address
2617 NW 60TH Way
Sunrise, FL 33313-2230
Phone (754) 209-8735
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 |
|---|---|---|---|
| 237911 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629590400000",
"number": "1356017073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 NW 60TH WAY",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333132230",
"telephone_number": "754-209-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 NW 60TH WAY",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333132230",
"telephone_number": "754-209-8735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETIENNE",
"first_name": "MARIE THANIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2021-08-22",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "237911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.