Active NPI
Linda R Hart, RNFA
- Registered Nurse First Assistant
- Fellsmere, FL
National Provider Identifier
1619952132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 2930672
- Practice address
- 12416 91St St
Fellsmere, FL 32948-5521 - Phone
- (772) 571-8657
- Fax
- (772) 571-0971
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 2930672 | FL | Primary |
Addresses
Primary practice location
12416 91St St
Fellsmere, FL 32948-5521
Mailing address
12416 91St St
Fellsmere, FL 32948-5521
Phone (772) 571-8657
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311332900 | Medicaid | FL | |
| X1619 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2930672 | FL | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LR Hart LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical-Surgical Registered Nurse
- Fellsmere, FL
- NPI 1487733697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1619952132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12416 91ST ST",
"city": "FELLSMERE",
"state": "FL",
"postal_code": "329485521",
"telephone_number": "772-571-8657",
"fax_number": "772-571-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12416 91ST ST",
"city": "FELLSMERE",
"state": "FL",
"postal_code": "329485521",
"telephone_number": "772-571-8657",
"fax_number": "772-571-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "LINDA",
"middle_name": "R",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "FL",
"license": "2930672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311332900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "X1619",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fellsmere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.