Individual provider Active NPI

Audley Hamilton

  • General Practice Registered Nurse
  • Plantation, FL
National Provider Identifier
1932671369
Registry record updated Dec 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN9482401 Issued in FL
Practice address
986 NW 89TH Ave
Plantation, FL 33324-6172
Phone
(954) 404-3477
NPI assigned
Dec 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN9482401 FL Primary

Addresses

Primary practice location

986 NW 89TH Ave
Plantation, FL 33324-6172

Mailing address

986 NW 89TH Ave
Plantation, FL 33324-6172

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
RN9482401FLMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1545696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545696000000",
    "number": "1932671369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 NW 89TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333246172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 NW 89TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333246172",
            "telephone_number": "954-404-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "AUDLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-25",
        "last_updated": "2018-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9482401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.