Active NPI
/Mavis Hnson
- Nurse's Aide
- Fort Pierce, FL
National Provider Identifier
1871841676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 142620
- Practice address
- 600 S 10TH St
Fort Pierce, FL 34950-8516 - Phone
- (772) 332-1326
- Fax
- (772) 460-8498
- NPI assigned
- Aug 27, 2012
- Last updated
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 142620 | FL | Primary |
Addresses
Primary practice location
600 S 10TH St
Fort Pierce, FL 34950-8516
Mailing address
600 S 10TH St
Fort Pierce, FL 34950-8516
Phone (772) 332-1326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142620 | FL | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mavis Hinson Adult Family Care Home | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Care Home Facility
- Fort Pierce, FL
- NPI 1972902096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1871841676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S 10TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349508516",
"telephone_number": "772-332-1326",
"fax_number": "772-460-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 10TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349508516",
"telephone_number": "772-332-1326",
"fax_number": "772-460-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HNSON",
"first_name": "/MAVIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "142620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.