Organization Active NPI

Carol Dean

  • Registered Nurse
  • Port St Lucie, FL
National Provider Identifier
1821488586
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN3098712 Issued in FL
Legal business name
CAROL DEAN
Practice address
899 NW Riverside Dr
Port St Lucie, FL 34983-1583
Phone
(305) 303-5920
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Carol Dean, RN,BSN
Title
Owner
Phone
(305) 303-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN3098712 FL Primary

Addresses

Primary practice location

899 NW Riverside Dr
Port St Lucie, FL 34983-1583

Mailing address

899 NW Riverside Dr
Port St Lucie, FL 34983-1583
Phone (305) 303-5920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1821488586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NW RIVERSIDE DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831583",
            "telephone_number": "305-303-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NW RIVERSIDE DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831583",
            "telephone_number": "305-303-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL DEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-303-5920",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3098712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.