Active NPI
Annet Tivin, RN
- Wound Care Registered Nurse
- Margate, FL
National Provider Identifier
1437497369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 1906032
- Practice address
- 3425 Pinewalk Dr N
Apt 105
Margate, FL 33063-7814 - Phone
- (954) 775-0789
- NPI assigned
- Jan 28, 2013
- Last updated
- Jan 28, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 1906032 | FL | Primary |
Addresses
Primary practice location
3425 Pinewalk Dr N
Apt 105
Margate, FL 33063-7814
Mailing address
3425 Pinewalk Drive North
Apt 105
Margate, FL 33063
Phone (954) 775-0789
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1906032 | FL | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1437497369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 PINEWALK DRIVE NORTH",
"address_2": "APT 105",
"city": "MARGATE",
"state": "FL",
"postal_code": "33063",
"telephone_number": "954-775-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 PINEWALK DR N",
"address_2": "APT 105",
"city": "MARGATE",
"state": "FL",
"postal_code": "330637814",
"telephone_number": "954-775-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIVIN",
"first_name": "ANNET",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "FL",
"license": "1906032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.