Pediatrix Medical Group

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

906022 Issued in FL

Legal business name

PEDIATRIX MEDICAL GROUP

Practice address

901 45TH St
West Palm Beach, FL 33407-2413

Phone

(561) 840-6220

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deborah W. McGriff

Title

Advanced Registered Nurse Practitio

Phone

(561) 840-6220

Specialties & licenses 1

Addresses

Tax ID family

Pediatrix Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatrix Medical Group

  • Critical Care Neonatal Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1629031000
  NPD tax ID

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447218979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 JONATHANS WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368523",
            "telephone_number": "561-966-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-840-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGRIFF",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADVANCED REGISTERED NURSE PRACTITIO",
        "authorized_official_telephone_number": "561-840-6220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "FL",
            "license": "906022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Services of America, LLC
• Pediatric Services of America, LLC
• Pediatric Services of America, LLC
• Pediatric Services of America, LLC
• Pediatrics Alliance, LLC
• Pediatrix Medical Group
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Angela Pedraza, M.D.
• Christopher Pedro, P.T.A.

• Critical Care Neonatal Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Critical Care Neonatal Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.