Active NPI
Eric Raiford
- Community Health Worker
- Royal Palm Beach, FL
National Provider Identifier
1679847693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- LPTA17167
- Practice address
- 115 Ibisca Ter
Royal Palm Beach, FL 33411-4321 - Phone
- (561) 346-5596
- NPI assigned
- Mar 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | LPTA17167 | FL | Primary |
Addresses
Primary practice location
115 Ibisca Ter
Royal Palm Beach, FL 33411-4321
Mailing address
115 Ibisca Ter
Royal Palm Beach, FL 33411-4321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPTA17167 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1679847693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 IBISCA TER",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334114321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 IBISCA TER",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334114321",
"telephone_number": "561-346-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIFORD",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "LPTA17167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.