Organization Active NPI

CPC Billing LLC

  • Gerontology Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1932701497
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
CPC BILLING LLC
Practice address
2900 N Military TRL Ste 245
Boca Raton, FL 33431-6362
Phone
(954) 501-3861
Fax
(608) 305-8874
NPI assigned
Nov 10, 2020
Last updated
Oct 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Tiffany Williamson, APRNNPI 1699328534
Title
Authorized Official
Phone
(954) 501-3861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NU Primary

Addresses

Primary practice location

2900 N Military TRL Ste 245
Boca Raton, FL 33431-6362

Mailing address

9500 NW 49TH CT
Coral Springs, FL 33076-2465
Phone (954) 501-3861

Other practice location 1

303 Deer Creek Lakeside Way
Deerfield Beach, FL 33442-8422
Phone (954) 501-3861

Other practice location 2

9500 NW 49th Ct
Coral Springs, FL 33076-2465
Phone (954) 501-3861

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ATHENA Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211203001773 FL Part B Supplier - Clinic/Group Practice 6204226301 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1932701497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 NW 49TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762465",
            "telephone_number": "954-501-3861",
            "fax_number": "608-305-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 245",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316362",
            "telephone_number": "954-501-3861",
            "fax_number": "608-305-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Deer Creek Lakeside Way",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334428422",
            "country_code": "US",
            "telephone_number": "954-501-3861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 NW 49th Ct",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330762465",
            "country_code": "US",
            "telephone_number": "954-501-3861",
            "fax_number": "608-305-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CPC BILLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-501-3861",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ATHENA",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "labs",
            "address_1": "303 Deer Creek Lakeside Way",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334428422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.