City of Boynton Beach

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

002507 Issued in FL

Legal business name

CITY OF BOYNTON BEACH

Practice address

100 E Ocean Ave
Boynton Beach, FL 33435-4515

Phone

(561) 742-6338

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Kori Grant

Title

Admin

Phone

(561) 742-6333

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Boynton Beach Fire Rescue Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1699702134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198442",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E OCEAN AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354515",
            "telephone_number": "561-742-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BOYNTON BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "KORI",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "561-742-6333"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "002507",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "002507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400001300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boynton Beach Fire Rescue",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Boynton Beach Fire Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia L Cicetti, LMHC
• Terri Ann Ciciless
• Karina V Cieri, PHARM.D
• Alexandra Cieslak
• Citadel Chiropractic, PA
• Virginia Clancy, LCSW
• Tanairy P Clapso
• Christine Michelle Clark, MS
• Tracy Ann Clark, H.A.S.
• Andrea Clarke Taylor, RN

• Land Ambulance in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.