Society of St. Agnes

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

14GH01357 Issued in FL

Legal business name

SOCIETY OF ST. AGNES

Practice address

6012 Cason Way
Lakeland, FL 33812-3888

Phone

(863) 644-6640

Fax

(863) 709-0595

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Atukuzwe Victor Nyirenda

Title

Director

Phone

(863) 644-6640

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1598069718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7422",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338077422",
            "telephone_number": "863-644-6640",
            "fax_number": "863-709-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 CASON WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123888",
            "telephone_number": "863-644-6640",
            "fax_number": "863-709-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY OF ST. AGNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "NYIRENDA",
        "authorized_official_first_name": "ATUKUZWE",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-644-6640",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "14GH01357",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "14GH01351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Soares
• Toya Nicole Sobers, PT
• Olumide O. Sobowale, M.D.
• Annette Sobrado-Pichardo, OTR
• Hayley Socha
• Idys Amelia Solis, M.D.
• Sharon Solomon, DPT
• Sarah Soltau, DMD
• Soni Family Practice, PLLC
• Angelina Maria Sonnen, BEHAVIOR TECHNICIAN

• Developmentally Disabled Services Day Training Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.