Pine Crest School

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

AL1707 Issued in FL

Legal business name

PINE CREST SCHOOL

Practice address

1501 NE 62ND St
Ft Lauderdale, FL 33334-5116

Phone

(954) 776-2134

Fax

(954) 492-4562

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Johnson

Title

Athletic Director

Phone

(954) 776-2134

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Delgado, ATC

  • Athletic Trainer
  • Fort Lauderdale, FL
  • NPI 1275924920
  NPD (past)
• Garrick Edwards, A.T.,C.

  • Health Educator
  • Fort Lauderdale, FL
  • NPI 1639573629
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1609278704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NE 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345116",
            "telephone_number": "954-776-2134",
            "fax_number": "954-492-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NE 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345116",
            "telephone_number": "954-776-2134",
            "fax_number": "954-492-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE CREST SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ATHLETIC DIRECTOR",
        "authorized_official_telephone_number": "954-776-2134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "FL",
            "license": "AL1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochel Pierre
• Rachelle Pigeot, BA PSYCHOLOGY
• Anyelien Pimienta
• Carlos Luis Pina, ARNP 9395534
• Ricardo Pina, MA
• Dimas Eduardo Pineda, MD
• Joseph P. Pineda, D.C.
• Ivette C. Pinela, L.M.T.,S.I.
• Heidi Pines, LCSW
• Pinnacle Family Services of Florida, LLC.

• Health Educator in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.