Active NPI
Flornise Joseph
- Homemaker
- Port St Lucie, FL
National Provider Identifier
1417734633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 239379
- Practice address
- 826 SW Amethist Ter
Port St Lucie, FL 34953-1903 - Phone
- (954) 628-6434
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 239379 | FL | |
| Homemaker | 376J00000X | 239379 | FL | Primary |
Addresses
Primary practice location
826 SW Amethist Ter
Port St Lucie, FL 34953-1903
Mailing address
826 SW Amethist Ter
Port St Lucie, FL 34953-1903
Phone (954) 628-6434
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 |
|---|---|---|---|
| 239379 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1417734633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 SW AMETHIST TER",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349531903",
"telephone_number": "954-628-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 SW AMETHIST TER",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349531903",
"telephone_number": "954-628-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "FLORNISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "239379",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "239379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.