Active NPI
K C Nurse Registry II LLC
- Nursing Care Agency
- South Pasadena, FL
National Provider Identifier
1942893771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.