Active NPI
Priscilla Ann Weems, RPT
- Community Health Worker
- Davie, FL
National Provider Identifier
1902051691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- PT1853
- Practice address
- 12577 SW 14TH St
Davie, FL 33325-4411 - Phone
- (954) 817-3375
- Fax
- (954) 475-4023
- NPI assigned
- Nov 21, 2008
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | PT1853 | FL | Primary |
Addresses
Primary practice location
12577 SW 14TH St
Davie, FL 33325-4411
Mailing address
12577 Southwest 14TH Street
Davie, FL 33325
Phone (954) 817-3375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1853 | Other | FL | RPT LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1853 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1902051691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12577 SOUTHWEST 14TH STREET",
"city": "DAVIE",
"state": "FL",
"postal_code": "33325",
"telephone_number": "954-817-3375",
"fax_number": "954-475-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12577 SW 14TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254411",
"telephone_number": "954-817-3375",
"fax_number": "954-475-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEMS",
"first_name": "PRISCILLA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "PT1853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPT LICENSE",
"identifier": "PT1853",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.