Individual provider Active NPI

Nancy Faye Prevatt, R.N.

  • Doula
  • Palmdale, FL
National Provider Identifier
1437418233
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
RN9170880 Issued in FL
Practice address
1118 3Rd Street
Palmdale, FL 33944
Phone
(863) 673-6812
Fax
(863) 675-0020
NPI assigned
May 14, 2012
Last updated
May 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X RN9170880 FL Primary

Addresses

Primary practice location

1118 3Rd Street
Palmdale, FL 33944

Mailing address

PO Box 202
1118 3Rd Street
Palmdale, FL 33944-0202
Phone (863) 673-6812

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9170880FLMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1437418233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "address_2": "1118 3RD STREET",
            "city": "PALMDALE",
            "state": "FL",
            "postal_code": "339440202",
            "telephone_number": "863-673-6812",
            "fax_number": "863-675-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 3RD STREET",
            "city": "PALMDALE",
            "state": "FL",
            "postal_code": "33944",
            "telephone_number": "863-673-6812",
            "fax_number": "863-675-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVATT",
        "first_name": "NANCY",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": "RN9170880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.