1St Stick Mobile Medical Services, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

1ST STICK MOBILE MEDICAL SERVICES, LLC

Practice address

139 S Pebble Beach Blvd Ste 107
Sun City Center, FL 33573-4711

Phone

(813) 296-3232

Fax

(813) 213-9228

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alfredia L White, APRN

Title

Owner/ Nurse Practitioner

Phone

(813) 296-3232

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Johnson, FNP

  • Family Nurse Practitioner
  • Sun City Center, FL
  • NPI 1720911621
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1770316333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S PEBBLE BEACH BLVD STE 107",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335734711",
            "telephone_number": "813-296-3232",
            "fax_number": "813-213-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S PEBBLE BEACH BLVD STE 107",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335734711",
            "telephone_number": "813-296-3232",
            "fax_number": "813-213-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST STICK MOBILE MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ALFREDIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ NURSE PRACTITIONER",
        "authorized_official_telephone_number": "813-296-3232",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Plus Hearing Center, Inc
• Absolute Surgical Specialists, PLLC
• Absolute Surgical Specialists, PLLC
• Barbara H Adamiak, ARNP
• Corina Adebayo, APRN, FNP-BC

• Health Service Clinic/Center in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.