Antoinette Marie Pavey-McDaniel, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP1806632 Issued in FL

Practice address

203 S Gloria St
Hendry Regional Corp Health
Clewiston, FL 33440

Phone

(863) 983-1123

Fax

(863) 983-1137

NPI assigned

Aug 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1861683237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S GLORIA ST",
            "address_2": "HENDRY REGIONAL CORP HEALTH",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "33440",
            "telephone_number": "863-983-1123",
            "fax_number": "863-983-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S GLORIA ST",
            "address_2": "HENDRY REGIONAL CORP HEALTH",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "33440",
            "telephone_number": "863-983-1123",
            "fax_number": "863-983-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEY-MCDANIEL",
        "first_name": "ANTOINETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1806632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.