Organization Active NPI

CFC Health Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1447614615
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111197 Issued in NE
Legal business name
CFC HEALTH ASSOCIATES LLC
Practice address
908 N Howard Ave
Suite 102
Grand Island, NE 68803-3556
Phone
(308) 675-1931
Fax
(308) 675-1934
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Malcolm Leal-Castaneda
Title
Practice Manager
Phone
(308) 675-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 111197 NE Primary

Addresses

Primary practice location

908 N Howard Ave
Suite 102
Grand Island, NE 68803-3556

Mailing address

908 N Howard Ave
Suite 102
Grand Island, NE 68803-3556
Phone (308) 675-1931

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1447614615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N HOWARD AVE",
            "address_2": "SUITE 102",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033556",
            "telephone_number": "308-675-1931",
            "fax_number": "308-675-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N HOWARD AVE",
            "address_2": "SUITE 102",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033556",
            "telephone_number": "308-675-1931",
            "fax_number": "308-675-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFC HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "LEAL-CASTANEDA",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "308-675-1931"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.