Active NPI
Brent McQuilkin
- Registered Nurse
- Jupiter, FL
National Provider Identifier
1376903948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9364271
- Practice address
- 1800 Via Royale
1813
Jupiter, FL 33458 - Phone
- (917) 916-2456
- NPI assigned
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9364271 | FL | Primary |
Addresses
Primary practice location
1800 Via Royale
1813
Jupiter, FL 33458
Mailing address
1800 Via Royale
1813
Jupiter, FL 33458-6984
Phone (917) 916-2456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BMC019713314259 | Other | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| RN9364271 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1376903948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 VIA ROYALE",
"address_2": "1813",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586984",
"telephone_number": "917-916-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 VIA ROYALE",
"address_2": "1813",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "917-916-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILKIN",
"first_name": "BRENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9364271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "BMC019713314259",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.