NPIMap

Organization Active NPI

JSP Enterprises Inc

  • Community Health Worker
  • Plantation, FL
National Provider Identifier
1477223709
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
JSP ENTERPRISES INC
Practice address
5651 SW 2ND St
Plantation, FL 33317-3568
Phone
(954) 993-5286
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Mrs. Shaliz Williams-Pierre, RN, MSW, CCM
Title
President
Phone
(954) 993-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

5651 SW 2ND St
Plantation, FL 33317-3568

Mailing address

5651 SW 2ND St
Plantation, FL 33317-3568
Phone (954) 993-5286

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1477223709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SW 2ND ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173568",
            "telephone_number": "954-993-5286",
            "fax_number": "954-999-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SW 2ND ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173568",
            "telephone_number": "954-993-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSP ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-PIERRE",
        "authorized_official_first_name": "SHALIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-993-5286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSW, CCM"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.