Individual provider Active NPI

Berkley Jonassaint

  • Driver
  • Okeechobee, FL
National Provider Identifier
1750073722
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
849 SE 38TH Ter
Okeechobee, FL 34974-3715
Phone
(954) 778-4151
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X FL Primary

Addresses

Primary practice location

849 SE 38TH Ter
Okeechobee, FL 34974-3715

Mailing address

901 SW 66TH Ave
North Lauderdale, FL 33068-2657
Phone (954) 914-2459

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

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1750073722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SW 66TH AVE",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682657",
            "telephone_number": "954-914-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 SE 38TH TER",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349743715",
            "telephone_number": "954-778-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONASSAINT",
        "first_name": "BERKLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.