Individual provider Active NPI

Elcie Altidor Fleurant, RN

  • Registered Nurse
  • Lauderdale Lakes, FL
National Provider Identifier
1669921664
Registry record updated Oct 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9256028 Issued in FL
Practice address
4026 NW 38TH Ave
Lauderdale Lakes, FL 33309-4813
Phone
(954) 696-3742
NPI assigned
Oct 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9256028 FL Primary

Addresses

Primary practice location

4026 NW 38TH Ave
Lauderdale Lakes, FL 33309-4813

Mailing address

1558 Polynesian LN
Sebastian, FL 32958-6536
Phone (954) 696-3742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9256028FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1669921664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 POLYNESIAN LN",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586536",
            "telephone_number": "954-696-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 NW 38TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333094813",
            "telephone_number": "954-696-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURANT",
        "first_name": "ELCIE",
        "middle_name": "ALTIDOR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9256028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; 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.