NPIMap

Organization Active NPI

Jose Dell

  • Licensed Practical Nurse
  • Waldo, FL
National Provider Identifier
1588086169
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5171635 Issued in FL
Legal business name
JOSE DELL
Doing business as
Jose Dell
Practice address
14401 NE 153Rd Ave
Apt. 21
Waldo, FL 32694-4020
Phone
(352) 260-7372
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mr. Jose Melecio Dell Sr., PN5171635NPI 1124403803
Title
LPN
Phone
(352) 260-7372

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)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5171635 FL Primary

Addresses

Primary practice location

14401 NE 153Rd Ave
Apt. 21
Waldo, FL 32694-4020

Mailing address

14401 NE 153Rd Ave.
Apt. 21
Waldo, FL 32694
Phone (352) 260-7372

Other names 1

  • Jose Dell Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1588086169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 NE 153RD AVE.",
            "address_2": "APT. 21",
            "city": "WALDO",
            "state": "FL",
            "postal_code": "32694",
            "telephone_number": "352-260-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 NE 153RD AVE",
            "address_2": "APT. 21",
            "city": "WALDO",
            "state": "FL",
            "postal_code": "326944020",
            "telephone_number": "352-260-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE DELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MELECIO",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "352-260-7372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PN5171635"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5171635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jose Dell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.