NPIMap

Individual provider Active NPI

Barbara Ann Nitsch, M.D.

  • Diagnostic Radiology Physician
  • Wellington, FL
National Provider Identifier
1962590133
Registry record updated Oct 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME61772 Issued in FL
Practice address
2618 Players CT
Wellington, FL 33414-6296
Phone
(561) 389-8229
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2010

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME61772 FL Primary
Diagnostic Radiology Physician 2085R0202X 9801729 NC
Diagnostic Radiology Physician 2085R0202X 34855 AZ
Diagnostic Radiology Physician 2085R0202X 37513 CO
Diagnostic Radiology Physician 2085R0202X 056157 GA
Diagnostic Radiology Physician 2085R0202X 080700 OH

Addresses

Primary practice location

2618 Players CT
Wellington, FL 33414-6296

Mailing address

2618 Players CT
Wellington, FL 33414-6296
Phone (561) 389-8229

Other identifiers 1

IdentifierTypeStateIssuer
373877900MedicaidFL

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34855AZMDDiagnostic Radiology Physician
37513COMDDiagnostic Radiology Physician
ME61772FLMDDiagnostic Radiology Physician
056157GAMDDiagnostic Radiology Physician
9801729NCMDDiagnostic Radiology Physician
080700OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology Past Accepting new patients
Suncoast Open MRI LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286668800000",
    "number": "1962590133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 PLAYERS CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146296",
            "telephone_number": "561-389-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 PLAYERS CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146296",
            "telephone_number": "561-389-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCH",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME61772",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9801729",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "34855",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "37513",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "056157",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "080700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373877900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2010; 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.