Organization Active NPI

Mobile Practitioner Services to You Inc

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1659772259
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MOBILE PRACTITIONER SERVICES TO YOU INC
Practice address
10641 SW 37TH PL
Davie, FL 33328-1310
Phone
(407) 535-0150
NPI assigned
Sep 15, 2014
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Mr. Ivory Christen, ARNPNPI 1417952847
Title
Ceo
Phone
(407) 535-0150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

10641 SW 37TH PL
Davie, FL 33328-1310

Mailing address

10641 SW 37TH PL
Davie, FL 33328-1310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150109000558 FL Part B Supplier - Clinic/Group Practice 9830413327 Receives reassigned benefits from 4 practitioners
Practice locations: Davie, FL; Plantation, FL

National Provider Directory

National Provider Directory

Locations

7441 NW 4th St
Plantation, FL 33317
Phone (954) 669-8713

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1659772259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 SW 37TH PL",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 SW 37TH PL",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281310",
            "telephone_number": "407-535-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PRACTITIONER SERVICES TO YOU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTEN",
        "authorized_official_first_name": "IVORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-535-0150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.