Individual provider Active NPI

Tequila Monoa Hill, NURSE AIDE

  • Nurse's Aide
  • Bartow, FL
National Provider Identifier
1750132940
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
20012035 Issued in PA
Practice address
1045 US Highway 17 S
Bartow, FL 33830-6027
Phone
(717) 331-7371
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 20012035 PA Primary

Addresses

Primary practice location

1045 US Highway 17 S
Bartow, FL 33830-6027

Mailing address

1940 Saddlewood CT
Bartow, FL 33830-2916
Phone (717) 331-7371

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
20012035PAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
C.N.E Healthcare,LLC CurrentSince Mar 31, 2024 Accepting new patients

Locations

1045 US Highway 17 S
Bartow, FL 33830
Phone (717) 331-7371

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1750132940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 SADDLEWOOD CT",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338302916",
            "telephone_number": "717-331-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 US HIGHWAY 17 S",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306027",
            "telephone_number": "717-331-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TEQUILA",
        "middle_name": "MONOA",
        "credential": "NURSE AIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "PA",
            "license": "20012035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.