Active NPI
Signature Coordination & Consult
- Case Manager/Care Coordinator
- Fort Pierce, FL
National Provider Identifier
1598410185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110134800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Case Manager/Care Coordinator
- Fort Pierce, FL
- NPI 1700530276
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.