Family Centered Primary Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9220215 Issued in FL

Legal business name

FAMILY CENTERED PRIMARY CARE LLC

Practice address

4760 Tamiami TRL N Ste 24
Naples, FL 34103-3065

Phone

(239) 220-8875

NPI assigned

Feb 13, 2018

Organization subpart

No

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

Authorized official

Name

Teri L Nies, ARNP

Title

Owner

Phone

(239) 220-8875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1518467935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRL N STE 24",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033065",
            "telephone_number": "239-220-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRL N STE 24",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033065",
            "telephone_number": "239-220-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CENTERED PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "NIES",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-220-8875",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9220215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.