Desty Nation, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESTY NATION, LLC

Practice address

658 SW Caburn Ave
Port St Lucie, FL 34953-7667

Phone

(561) 983-1263

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shirley Desty, RNNPI 1033934039

Title

Executive Director

Phone

(561) 983-1263

Specialties & licenses 5

Addresses

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.

• Shirley Desty, RN

  • Psychiatric/Mental Health Registered Nurse
  • Port St Lucie, FL
  • NPI 1033934039
  NPD Authorized official

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1568287563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 SW CABURN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537667",
            "telephone_number": "561-983-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 SW CABURN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537667",
            "telephone_number": "561-983-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTY NATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "DESTY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-983-1263",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Dale Desouza Jr.
• Karitza Brandy Desrivieres
• Mensley Desrosiers
• Darlene Dessources
• Mathews Destin
• Shirley Desty, RN
• Melissa Deulofeu Pulido
• Lourdia Devalon
• Development Learning Center of St Lucie County Florida Inc
• Merancia Dezina, DENTAL ASSISTANT

• Home Health Agency in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.