Organization Active NPI

Boca Raton First Assist, PLLC

  • Registered Nurse First Assistant
  • Boca Raton, FL
National Provider Identifier
1790270189
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
BOCA RATON FIRST ASSIST, PLLC
Practice address
19885 Golden Bridge Trail
Boca Raton, FL 33498
Phone
(407) 702-5798
Fax
(877) 900-5188
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Mrs. Jennifer Ann Kulik, RNFANPI 1770077984
Title
Owner/MGR.
Phone
(407) 702-5798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

19885 Golden Bridge Trail
Boca Raton, FL 33498

Mailing address

19885 Golden Bridge Trail
Boca Raton, FL 33498
Phone (407) 702-5798

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1790270189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19885 GOLDEN BRIDGE TRAIL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33498",
            "telephone_number": "407-702-5798",
            "fax_number": "877-900-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19885 GOLDEN BRIDGE TRAIL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33498",
            "telephone_number": "407-702-5798",
            "fax_number": "877-900-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON FIRST ASSIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "KULIK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MGR.",
        "authorized_official_telephone_number": "407-702-5798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.