Individual provider Active NPI

Sean Christopher Drewes, C.N.A .

  • Nurse's Aide
  • Palm Coast, FL
National Provider Identifier
1639672660
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
358369 Issued in FL
Practice address
54 Bannbury LN
Palm Coast, FL 32137-8848
Phone
(386) 693-6982
NPI assigned
Mar 15, 2018
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 358369 FL Primary

Addresses

Primary practice location

54 Bannbury LN
Palm Coast, FL 32137-8848

Mailing address

54 Bannbury LN
Palm Coast, FL 32137-8848
Phone (386) 693-6982

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

LicenseStateTypeSpecialty
358369FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1639672660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BANNBURY LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378848",
            "telephone_number": "386-693-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BANNBURY LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378848",
            "telephone_number": "386-693-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWES",
        "first_name": "SEAN",
        "middle_name": "CHRISTOPHER",
        "credential": "C.N.A .",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "358369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.