Individual provider Active NPI

Maurice Anthony Neirinck

  • Registered Nurse
  • Bonita Springs, FL
National Provider Identifier
1881401123
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9353973 Issued in FL
Practice address
28842 Yellow Fin TRL
Bonita Springs, FL 34135-8599
Phone
(773) 383-2458
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9353973 FL Primary

Addresses

Primary practice location

28842 Yellow Fin TRL
Bonita Springs, FL 34135-8599

Mailing address

28842 Yellow Fin TRL
Bonita Springs, FL 34135-8599
Phone (773) 383-2458

Other practice location 1

28842 Yellow Fin Trl
Bonita Springs, FL 34135-8599
Phone (773) 383-2458

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

LicenseStateTypeSpecialty
RN9353973FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1881401123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28842 YELLOW FIN TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358599",
            "telephone_number": "773-383-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28842 YELLOW FIN TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358599",
            "telephone_number": "773-383-2458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28842 Yellow Fin Trl",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341358599",
            "country_code": "US",
            "telephone_number": "773-383-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIRINCK",
        "first_name": "MAURICE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9353973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.