Organization Active NPI

Mobile Practitioner Services Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Riviera Beach, FL
National Provider Identifier
1730706078
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOBILE PRACTITIONER SERVICES INC.
Practice address
1565 W 36TH St
Riviera Beach, FL 33404-2009
Phone
(561) 662-2198
Fax
(561) 828-9884
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Mrs. Angela Denise Engram, APRN
Title
Pmhnp/FNP
Phone
(561) 662-2198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1565 W 36TH St
Riviera Beach, FL 33404-2009

Mailing address

1565 W 36TH St
Riviera Beach, FL 33404-2009
Phone (561) 662-2198

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1730706078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 W 36TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042009",
            "telephone_number": "561-662-2198",
            "fax_number": "561-828-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W 36TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042009",
            "telephone_number": "561-662-2198",
            "fax_number": "561-828-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PRACTITIONER SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "ENGRAM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PMHNP/FNP",
        "authorized_official_telephone_number": "561-662-2198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.