Active NPI
Family First Direct Primary Care LLC
- Primary Care Nurse Practitioner
- West Palm Beach, FL
National Provider Identifier
1528626587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- FAMILY FIRST DIRECT PRIMARY CARE LLC
- Practice address
- 2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413 - Phone
- (561) 667-9216
- NPI assigned
- Jun 4, 2019
- Organization subpart
- Yes
- Parent organization
- FAMILY FIRST DIRECT PRIMARY CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lashunda Blackshear, APRN
- Title
- Nurse Practitioner
- Phone
- (561) 667-9216
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413
Mailing address
538 Cypress Dr
Lake Park, FL 33403-3335
Phone (561) 667-9216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Family First Direct Primary Care LLC
Locations
2247 Palm Beach Lakes Blvd
Ste 206
West Palm Beach, FL 33409
Phone (561) 841-6960
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- West Palm Beach, FL
- NPI 1073099453
-
- Family Nurse Practitioner
- West Palm Beach, FL
- NPI 1558847921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1528626587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 CYPRESS DR",
"city": "LAKE PARK",
"state": "FL",
"postal_code": "334033335",
"telephone_number": "561-667-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2247 PALM BEACH LAKES BLVD STE 206",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093413",
"telephone_number": "561-667-9216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FIRST DIRECT PRIMARY CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY FIRST DIRECT PRIMARY CARE LLC",
"enumeration_date": "2019-06-04",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "BLACKSHEAR",
"authorized_official_first_name": "LASHUNDA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "561-667-9216",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.