Individual provider Active NPI

Skeeter Thompson Nembhard, APRN

  • Family Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1861859183
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9453519 Issued in FL
Practice address
1250 W State Road 434 Ste 1004
Longwood, FL 32750-4969
Phone
(407) 732-5753
NPI assigned
Jan 17, 2016
Reactivated
Dec 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340172 NY
Family Nurse Practitioner 363LF0000X 9453519 FL Primary

Addresses

Primary practice location

1250 W State Road 434 Ste 1004
Longwood, FL 32750-4969

Mailing address

1250 W State Road 434 Ste 1004
Longwood, FL 32750-4969
Phone (407) 732-5753

Other practice location 1

2 Westridge Ct
East Stroudsburg, PA 18302-7100
Phone (646) 221-6095

Other practice location 2

2610 SW 85th Ter
Miramar, FL 33025-2947
Phone (917) 993-0281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9453519FLMDFamily Nurse Practitioner
340172NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson-Nembhard Inc Family Current Accepting new patients

Locations

1250 W State Road 434
Ste 1004
Longwood, FL 32750
Phone (407) 260-8227

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1861859183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W STATE ROAD 434 STE 1004",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504969",
            "telephone_number": "407-732-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W STATE ROAD 434 STE 1004",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504969",
            "telephone_number": "407-732-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Westridge Ct",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183027100",
            "country_code": "US",
            "telephone_number": "646-221-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 SW 85th Ter",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330252947",
            "country_code": "US",
            "telephone_number": "917-993-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON NEMBHARD",
        "first_name": "SKEETER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-17",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "deactivation_date": "2018-11-26",
        "reactivation_date": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9453519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.