Organization Active NPI

Rhema Family Practice

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1508461252
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RHEMA FAMILY PRACTICE
Practice address
10305 NW 6TH St
Plantation, FL 33324-1617
Phone
(754) 246-8414
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Beena K Bijoy, NURSE PRACTITIONER
Title
Arnp., FNP BC
Phone
(754) 246-8414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10305 NW 6TH St
Plantation, FL 33324-1617

Mailing address

10305 Nw6Th Street,Plantation.FL-33324
Plantation, FL 33324
Phone (754) 246-8414

Other identifiers 2

IdentifierTypeStateIssuer
L20000349808MedicaidFL
L20000349808OtherFLNON INSURER

Other names 1

  • Self Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1508461252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 NW6TH STREET,PLANTATION.FL-33324",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "754-246-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 6TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241617",
            "telephone_number": "754-246-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-29",
        "status": "A",
        "authorized_official_last_name": "BIJOY",
        "authorized_official_first_name": "BEENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ARNP., FNP BC",
        "authorized_official_telephone_number": "754-246-8414",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L20000349808",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON INSURER",
            "identifier": "L20000349808",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 1, 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.