Active NPI
Natacha Innocent, L.P.N.
- Licensed Practical Nurse
- Stuart, FL
National Provider Identifier
1699891804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5175887
- Practice address
- 3727 SE Ocean Blvd
200-B
Stuart, FL 34996-6740 - Phone
- (800) 355-1201
- Fax
- (772) 781-7271
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5175887 | FL | Primary |
Addresses
Primary practice location
3727 SE Ocean Blvd
200-B
Stuart, FL 34996-6740
Mailing address
2066 SW 153Rd Way
Miramar, FL 33027-4376
Phone (786) 285-1854
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 |
|---|---|---|---|
| PN5175887 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699891804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2066 SW 153RD WAY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274376",
"telephone_number": "786-285-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 SE OCEAN BLVD",
"address_2": "200-B",
"city": "STUART",
"state": "FL",
"postal_code": "349966740",
"telephone_number": "800-355-1201",
"fax_number": "772-781-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNOCENT",
"first_name": "NATACHA",
"name_prefix": "Ms.",
"credential": "L.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5175887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
- Independence Ear, Nose & Throat, LLC
- Industrial Health Solutions, P.a.
- Infinity Healthcare Stuart LLC
- Erin Lynn Inga, RN
- Candi Gayle Ingleton
- Innovate Assisted Living Facility
- Inspired Nutrition
- Institute for Restoration & Renewal
- Institute of Colorectal Health & Wellness, LLC
- Integrated Medical Care Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.