Organization Active NPI

Signature Coordination & Consult

  • Case Manager/Care Coordinator
  • Fort Pierce, FL
National Provider Identifier
1598410185
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SIGNATURE COORDINATION & CONSULT
Practice address
1221 Delaware Ave FL 2
Fort Pierce, FL 34950-4084
Phone
(954) 899-0954
NPI assigned
Feb 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Authorized official

Name
Lea G Stonom
Title
Owner
Phone
(954) 899-0954

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

1221 Delaware Ave FL 2
Fort Pierce, FL 34950-4084

Mailing address

1221 Delaware Ave FL 2
Fort Pierce, FL 34950-4084
Phone (954) 899-0954

Other identifiers 1

IdentifierTypeStateIssuer
110134800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1221 Delaware Ave
Fl 2
Fort Pierce, FL 34950
Phone (772) 361-1339

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": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1598410185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DELAWARE AVE FL 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504084",
            "telephone_number": "954-899-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 DELAWARE AVE FL 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504084",
            "telephone_number": "954-899-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE COORDINATION & CONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "STONOM",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-899-0954"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110134800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; 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.