Organization Active NPI

K C Nurse Registry II LLC

  • Nursing Care Agency
  • South Pasadena, FL
National Provider Identifier
1942893771
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
K C NURSE REGISTRY II LLC
Practice address
1813 Shore Dr S Ste 5
South Pasadena, FL 33707-4701
Phone
(813) 525-3878
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Bernard O Spooner, RN
Title
Nurse Consultant
Phone
(139) 927-8678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1813 Shore Dr S Ste 5
South Pasadena, FL 33707-4701

Mailing address

1813 Shore Dr S Ste 5
South Pasadena, FL 33707-4701
Phone (813) 525-3878

National Provider Directory

National Provider Directory

Locations

1813 Shore Dr S
Ste 5
South Pasadena, FL 33707
Phone (813) 525-3878

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1942893771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 SHORE DR S STE 5",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074701",
            "telephone_number": "813-525-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 SHORE DR S STE 5",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074701",
            "telephone_number": "813-525-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K C NURSE REGISTRY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NURSE CONSULTANT",
        "authorized_official_telephone_number": "139-927-8678",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.