Amed USA LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AMED USA LLC

Practice address

12401 SW 1St PL
Plantation, FL 33325-2715

Phone

(954) 967-5425

NPI assigned

Oct 4, 2018

Last updated

Oct 4, 2018By 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

Mrs. Raysa Redondo, ARNPNPI 1477034346

Title

Owner

Phone

(954) 967-5425

Specialties & licenses 1

Addresses

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.

• Raysa Redondo, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland Park, FL
  • NPI 1477034346
  NPD (past) Authorized official

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1831664911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 SW 1ST PL",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252715",
            "telephone_number": "954-967-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 SW 1ST PL",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252715",
            "telephone_number": "954-967-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMED USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "REDONDO",
        "authorized_official_first_name": "RAYSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-967-5425",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.