Active NPI
Cci Billing Services LLC
- Registered Nurse
- Lehigh Acres, FL
National Provider Identifier
1528109485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- CCI BILLING SERVICES LLC
- Practice address
- 1500 Lee Blvd
Lehigh Acres, FL 33936-4835 - Phone
- (239) 368-4517
- NPI assigned
- Feb 12, 2007
- Last updated
- Aug 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Trentham, MD
- Title
- Owner
- Phone
- (954) 545-0337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | |||
| Registered Nurse | 163W00000X | Primary | ||
| Anesthesiology Physician | 207L00000X |
Addresses
Primary practice location
1500 Lee Blvd
Lehigh Acres, FL 33936-4835
Mailing address
92 E McNab Rd
Pompano Beach, FL 33060-9238
Phone (954) 545-0337
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612438900 | Other | FL | WORKMANS COMP |
| 278080100 | Medicaid | FL | |
| 99300 | Other | FL | BLUE CROSS |
| DG2104 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Franklin, NC
- NPI 1871513010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219708800000",
"number": "1528109485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 E MCNAB RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330609238",
"telephone_number": "954-545-0337",
"fax_number": "954-545-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LEE BLVD",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364835",
"telephone_number": "239-368-4517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCI BILLING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2008-08-26",
"status": "A",
"authorized_official_last_name": "TRENTHAM",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-545-0337",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMANS COMP",
"identifier": "612438900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278080100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "99300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG2104",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.