Individual provider Active NPI

Jean Marie Drews, LMWSC

  • Case Manager/Care Coordinator
  • Wilton Manors, FL
National Provider Identifier
1891933719
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
000235700 Issued in FL
Practice address
1532 NE 27TH St
Wilton Manors, FL 33334-4347
Phone
(954) 561-0920
Fax
(954) 563-6709
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 000235701 FL
Case Manager/Care Coordinator 171M00000X 000235700 FL Primary

Addresses

Primary practice location

1532 NE 27TH St
Wilton Manors, FL 33334-4347

Mailing address

1532 NE 27TH St
Wilton Manors, FL 33334-4347
Phone (954) 561-0920

Other identifiers 2

IdentifierTypeStateIssuer
000235701MedicaidFL
000235700MedicaidFL

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
000235700FLMDCase Manager/Care Coordinator
000235701FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1891933719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 NE 27TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333344347",
            "telephone_number": "954-561-0920",
            "fax_number": "954-563-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 NE 27TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333344347",
            "telephone_number": "954-561-0920",
            "fax_number": "954-563-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWS",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMWSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "000235701",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "000235700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000235701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000235700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.