C.&S. Health Service

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

C.&S. HEALTH SERVICE

Practice address

4052 SW Kadlic St
Port St Lucie, FL 34953-5672

Phone

(772) 708-0256

Fax

(772) 361-7944

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Kathly M Jean-Gilles, DNP

Title

Owner

Phone

(772) 708-0256

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1407418361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 SW KADLIC ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535672",
            "telephone_number": "772-708-0256",
            "fax_number": "772-361-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 SW KADLIC ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535672",
            "telephone_number": "772-708-0256",
            "fax_number": "772-361-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.&S. HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "JEAN-GILLES",
        "authorized_official_first_name": "KATHLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-708-0256",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.