Active NPI
Roniesha Hawkins
- Home Health Agency
- Coral Springs, FL
National Provider Identifier
1932637964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- L17000120007
- Practice address
- 2501 Riverside Dr Apt 413
Coral Springs, FL 33065-5559 - Phone
- (754) 246-5432
- NPI assigned
- Jun 4, 2017
- Last updated
- Jun 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | L17000120007 | FL | Primary |
| Home Health Aide | 374U00000X | L17000120007 | FL |
Addresses
Primary practice location
2501 Riverside Dr Apt 413
Coral Springs, FL 33065-5559
Mailing address
1459 Sussex Dr
North Lauderdale, FL 33068-5347
Phone (754) 246-5432
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 |
|---|---|---|---|
| L17000120007 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496534400000",
"number": "1932637964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 SUSSEX DR",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330685347",
"telephone_number": "754-246-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 RIVERSIDE DR APT 413",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655559",
"telephone_number": "754-246-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "RONIESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-04",
"last_updated": "2017-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "L17000120007",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "L17000120007",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.