Active NPI
Racquel Lizzul
- Home Health Registered Nurse
- Coral Springs, FL
National Provider Identifier
1417418278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 299994835
- Practice address
- 1750 N University Dr Ste 216
Coral Springs, FL 33071-8912 - Phone
- (954) 688-9342
- Fax
- (754) 229-6630
- NPI assigned
- Mar 26, 2019
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 299994835 | FL | Primary |
Addresses
Primary practice location
1750 N University Dr Ste 216
Coral Springs, FL 33071-8912
Mailing address
1750 N University Dr Ste 216
Coral Springs, FL 33071-8912
Phone (954) 688-9342
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 |
|---|---|---|---|
| 299994835 | FL | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.R.O.a.D Home Health Agency, LLC | Current | Accepting new patients |
Locations
1750 N University Dr
Ste 216
Coral Springs, FL 33071
Phone (954) 688-9342
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Visiting Angels
- In Home Supportive Care Agency
- Coral Springs, FL
- NPI 1992477574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1417418278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 N UNIVERSITY DR STE 216",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718912",
"telephone_number": "954-688-9342",
"fax_number": "754-229-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 N UNIVERSITY DR STE 216",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718912",
"telephone_number": "954-688-9342",
"fax_number": "754-229-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZZUL",
"first_name": "RACQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "299994835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.