Neighborhood Nurse Clinics LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

NEIGHBORHOOD NURSE CLINICS LLC

Practice address

2717 Yacht Club Blvd Apt 5C
Fort Lauderdale, FL 33304-4517

Phone

(404) 702-8761

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Kristina Larsen

Title

Owner

Phone

(404) 702-8761

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1639812944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 YACHT CLUB BLVD APT 5C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044517",
            "telephone_number": "404-702-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 YACHT CLUB BLVD APT 5C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044517",
            "telephone_number": "404-702-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 County Road 933",
            "address_purpose": "LOCATION",
            "city": "Teague",
            "state": "TX",
            "postal_code": "75860",
            "country_code": "US",
            "telephone_number": "470-558-1846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEIGHBORHOOD NURSE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-702-8761"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.