Individual provider Active NPI

Diane Lynn Crites, RNFA

  • Registered Nurse First Assistant
  • Pompano Beach, FL
National Provider Identifier
1700059938
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN2582442 Issued in FL
Practice address
361 SE 11TH St
Pompano Beach, FL 33060-8837
Phone
(954) 227-8224
Fax
(954) 227-7442
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN2582442 FL Primary

Addresses

Primary practice location

361 SE 11TH St
Pompano Beach, FL 33060-8837

Mailing address

PO Box 970528
Coconut Creek, FL 33097-0528
Phone (954) 227-8224

Other names 1

  • Diane Lynn White Former name

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

LicenseStateTypeSpecialty
RN2582442FLMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1700059938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330970528",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 SE 11TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608837",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITES",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN2582442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "WHITE",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.