Active NPI
Nicole Marie Fields
- Pharmacist
- Rockledge, FL
National Provider Identifier
1750592671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42434
- Practice address
- 3799 Murrell Rd
Rockledge, FL 32955-4710 - Phone
- (321) 631-2755
- NPI assigned
- May 24, 2007
- Last updated
- Sep 27, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42434 | FL | Primary |
Addresses
Primary practice location
3799 Murrell Rd
Rockledge, FL 32955-4710
Mailing address
911 Lamplighter Dr NW
Palm Bay, FL 32907
Phone (321) 327-4757
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 |
|---|---|---|---|
| PS42434 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1750592671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 LAMPLIGHTER DR NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32907",
"telephone_number": "321-327-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3799 MURRELL RD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554710",
"telephone_number": "321-631-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.