Organization Active NPI

Sunshine Rehab and Wellness Center LLC

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1801330485
Registry record updated Dec 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SUNSHINE REHAB AND WELLNESS CENTER LLC
Practice address
4175 S Congress Ave
Suite D
Lake Worth, FL 33461-4725
Phone
(561) 452-8563
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2018

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

Authorized official

Name
Lynda Germeil, ARNP
Title
Manager
Phone
(561) 530-3469

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 9182389 FL
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4175 S Congress Ave
Suite D
Lake Worth, FL 33461-4725

Mailing address

4175 S Congress Ave
Suite D
Lake Worth, FL 33461-4725

Other identifiers 1

IdentifierTypeStateIssuer
0012166-00MedicaidFL

National Provider Directory

National Provider Directory

Locations

4175 S Congress Ave
Ste D
Palm Springs, FL 33461
Phone (561) 331-8633

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544313600000",
    "number": "1801330485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE",
            "address_2": "SUITE D",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE",
            "address_2": "SUITE D",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614725",
            "telephone_number": "561-452-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE REHAB AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2018-12-09",
        "status": "A",
        "authorized_official_last_name": "GERMEIL",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-530-3469",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "9182389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012166-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; 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.