Active NPI
Shaheda Haq
- Other Technician
- Royal Palm Beach, FL
National Provider Identifier
1710105291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 380101061157743
- Practice address
- 1135 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1641 - Phone
- (561) 793-8312
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 380101061157743 | FL | Primary |
Addresses
Primary practice location
1135 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1641
Mailing address
5965 Flatrock Rd
West Palm Beach, FL 33413-1123
Phone (561) 712-1471
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 |
|---|---|---|---|
| 380101061157743 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710105291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 FLATROCK RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334131123",
"telephone_number": "561-712-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 ROYAL PALM BEACH BLVD",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111641",
"telephone_number": "561-793-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQ",
"first_name": "SHAHEDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "380101061157743",
"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 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.