Idongesit Edet

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9416423 Issued in FL

Practice address

11630 Balintore Dr
Riverview, FL 33579-3908

Phone

(813) 616-0446

NPI assigned

Jun 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Idongesit Joseph Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ccmedic Homecare LLC

  • Home Health Agency
  • Tampa, FL
  • NPI 1376245381
  NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922411388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 BALINTORE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793908",
            "telephone_number": "813-616-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 BALINTORE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793908",
            "telephone_number": "813-616-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Surf Dr",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104732538",
            "country_code": "US",
            "telephone_number": "347-663-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDET",
        "first_name": "IDONGESIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5631861",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9416423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDONGESIT",
            "last_name": "JOSEPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Early Intervention Academy, LLC
• Nigel Eli Easley
• Yeney Echizarraga Sanchez
• Echo Bay Therapy
• Ecs Cardiology
• Natalie R Edge, BSN, RN
• Amanda M Edinger
• Education Research Solutions
• Educational Consultants Group LLC
• Christine Ann Edwards, LMHC

• Registered Nurse in Riverview, FL
• Providers in Riverview, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.