BLM First Assistant

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

769982 Issued in FL

Legal business name

BLM FIRST ASSISTANT

Practice address

704 Trowbridge Ave
Fort Walton Beach, FL 32547-3136

Phone

(850) 217-2890

NPI assigned

Sep 26, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara L McDonald, RNFA

Title

Rnfa

Phone

(850) 217-2890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285459200000",
    "number": "1639488653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 TROWBRIDGE AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473136",
            "telephone_number": "850-217-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 TROWBRIDGE AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473136",
            "telephone_number": "850-217-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLM FIRST ASSISTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-09-26",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "850-217-2890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "769982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fort Walton Beach, FL
• Registered Nurse First Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2010; 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.