Organization Active NPI

Shellcoast Surgical First Assisting Inc

  • Registered Nurse First Assistant
  • Cape Coral, FL
National Provider Identifier
1366598435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN1559892 Issued in FL
Legal business name
SHELLCOAST SURGICAL FIRST ASSISTING INC
Practice address
313 SE 6TH St
Cape Coral, FL 33990-1528
Phone
(239) 772-9841
Fax
(239) 772-9841
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wendy Marie Lynch, RNFANPI 1619023744
Title
President
Phone
(239) 772-9841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X RN1559892 FL Primary

Addresses

Primary practice location

313 SE 6TH St
Cape Coral, FL 33990-1528

Mailing address

313 SE 6TH St
Cape Coral, FL 33990-1528
Phone (239) 772-9841

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366598435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SE 6TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901528",
            "telephone_number": "239-772-9841",
            "fax_number": "239-772-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SE 6TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901528",
            "telephone_number": "239-772-9841",
            "fax_number": "239-772-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLCOAST SURGICAL FIRST ASSISTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-772-9841",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN1559892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.