St Lucie County Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2654 Issued in FL

Legal business name

ST LUCIE COUNTY FIRE DISTRICT

Practice address

5160 NW Milner Dr
Port St Lucie, FL 34983-3392

Phone

(772) 621-3321

Fax

(772) 621-3610

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa A Hannold

Title

Ambulance Billing Supervisor

Phone

(772) 621-3352

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1649261744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 NW MILNER DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-621-3321",
            "fax_number": "772-621-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 NW MILNER DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-621-3321",
            "fax_number": "772-621-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUCIE COUNTY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "HANNOLD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AMBULANCE BILLING SUPERVISOR",
        "authorized_official_telephone_number": "772-621-3352",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "2654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088065500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Aubyn Senior Services Inc (Circle of Care (The))
• Majella St Brice, REGISTERED NURSE
• Edouard St Hilaire
• Ericka St Louis
• St Lucie Counseling and Clinical Hypnosis, LLC
• St Lucie County School Board
• St Lucie County School Board
• St Lucie County School Board
• St Lucie County School Board
• St Lucie County School Board

• Land Ambulance in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.