Elite Private Duty Nursing I, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ELITE PRIVATE DUTY NURSING I, LLC

Doing business as

Sherri L Pucillo MSN, APRN, FNP-C

Practice address

1303 Belair Rd
Pensacola, FL 32505-2611

Phone

(850) 748-3109

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherri L Pucillo, FNP-CNPI 1982218202

Title

Ceo

Phone

(850) 748-3109

Specialties & licenses 1

Addresses

Other names 1

• Sherri L Pucillo MSN, APRN, FNP-C Doing business as

Practitioners 1

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.

• Sherri Louise Pucillo, FNP

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1982218202
  NPD Authorized official

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1669067559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 BELAIR RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052611",
            "telephone_number": "850-748-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 BELAIR RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052611",
            "telephone_number": "850-748-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIVATE DUTY NURSING I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "PUCILLO",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-748-3109",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherri L Pucillo MSN, APRN, FNP-C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.