Individual provider Active NPI

Josie Andal

  • Nurse's Aide
  • Davie, FL
National Provider Identifier
1770308306
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA274603 Issued in FL
Practice address
2230 SW 70TH Ave Ste 2
Davie, FL 33317-7131
Phone
(408) 300-5993
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 CNA274603 FL Primary

Addresses

Primary practice location

2230 SW 70TH Ave Ste 2
Davie, FL 33317-7131

Mailing address

1807 NW 127TH Ave
Pembroke Pines, FL 33028-2567

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNA274603FLMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
A New Start: Financial & Social Services Inc. CurrentSince Nov 24, 2024 Accepting new patients
A New Start: Financial & Social Services Inc. CurrentSince Nov 24, 2024 Accepting new patients

Locations

2230 SW 70th Ave
Ste 2
Davie, FL 33317
Phone (305) 891-6778

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": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1770308306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 NW 127TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 SW 70TH AVE STE 2",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177131",
            "telephone_number": "408-300-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDAL",
        "first_name": "JOSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA274603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.