NPIMap

Organization Active NPI

Family 1St PNCC Services, LLC.

  • Health Educator
  • Milwaukee, WI
National Provider Identifier
1679281109
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
FAMILY 1ST PNCC SERVICES, LLC.
Practice address
4435 N 49TH St
Milwaukee, WI 53218-5702
Phone
(414) 520-6574
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Matanya L. BoydNPI 1376269704
Title
Health Educator/Co-Owner
Phone
(414) 520-6574

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

4435 N 49TH St
Milwaukee, WI 53218-5702

Mailing address

4435 N 49TH St
Milwaukee, WI 53218-5702
Phone (414) 520-6574

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1679281109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 N 49TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185702",
            "telephone_number": "414-520-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 N 49TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185702",
            "telephone_number": "414-520-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY 1ST PNCC SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MATANYA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HEALTH EDUCATOR/CO-OWNER",
        "authorized_official_telephone_number": "414-520-6574"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.