Organization Active NPI

A2Z Mobile Fistula Ostomy & Wound Services

  • Wound Care Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1669188173
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
A2Z MOBILE FISTULA OSTOMY & WOUND SERVICES
Practice address
2580 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3100
Phone
(561) 814-8700
Fax
(561) 812-3763
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Sonia Hankerson
Title
Adminstrator
Phone
(954) 599-9537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

2580 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3100

Mailing address

2580 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3100
Phone (561) 814-8700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1669188173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 METROCENTRE BLVD STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073100",
            "telephone_number": "561-814-8700",
            "fax_number": "561-812-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 METROCENTRE BLVD STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073100",
            "telephone_number": "561-814-8700",
            "fax_number": "561-812-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A2Z MOBILE FISTULA OSTOMY & WOUND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "HANKERSON",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "954-599-9537"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.