Janice D Bacchus, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9185531 Issued in FL

Legal business name

JANICE D BACCHUS, LLC

Practice address

9000 SW 152ND St
Suite 105
Palmetto Bay, FL 33157-1981

Phone

(786) 445-0810

Fax

(786) 217-1409

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Miss Janice Denise Bacchus, ARNP

Title

Owner

Phone

(786) 423-8500

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.

• Kostiya Kana Peki, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1518975325
  NPD (past)

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1891122552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 105",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "786-445-0810",
            "fax_number": "786-217-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 105",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "786-445-0810",
            "fax_number": "786-217-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE D BACCHUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-423-8500",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9185531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jac Home Health Agency & DME Corp
• Jac Pharmacy Corp
• Shanquan Jackson, B.A.
• Jane's Care Services Corp
• Jane's Care Services Corp
• Jasmine Alf Inc.
• Amina Linette Jerez, MS
• Emmanuelle Christie Jeudy
• Addiel Jimenez Fernandez, BCBA
• Yanepsy Jimenez

• Family Nurse Practitioner in Palmetto Bay, FL
• Providers in Palmetto Bay, 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 Sep 26, 2013; 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.