Active NPI
Staci Berman
- Registered Nurse
- Cooper City, FL
National Provider Identifier
1891382875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9207068
- Practice address
- 5781 SW 88TH Ter
Cooper City, FL 33328-5153 - Phone
- (610) 724-0030
- NPI assigned
- Dec 24, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9207068 | FL | Primary |
Addresses
Primary practice location
5781 SW 88TH Ter
Cooper City, FL 33328-5153
Mailing address
5781 SW 88TH Ter
Cooper City, FL 33328-5153
Phone (610) 824-0030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Staciw11@hotmail.com |
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 |
|---|---|---|---|
| 9207068 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1891382875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 SW 88TH TER",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285153",
"telephone_number": "610-824-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5781 SW 88TH TER",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285153",
"telephone_number": "610-724-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "STACI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-24",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9207068",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Staciw11@hotmail.com",
"affiliation": "N",
"address_1": "5781 SW 88th Ter",
"city": "Cooper City",
"state": "FL",
"country_code": "US",
"postal_code": "333285153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.