Individual provider Active NPI

Jennifer C Straub, RN,CNOR,RNFA

  • Registered Nurse First Assistant
  • Indian Harbour Beach, FL
National Provider Identifier
1962724302
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN9258238 Issued in FL
Practice address
2085 Highway A1A
Unit 3702
Indian Harbour Beach, FL 32937-1801
Phone
(321) 610-4332
Fax
(321) 610-4332
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN9258238 FL Primary
Registered Nurse First Assistant 163WR0006X 563471 NY

Addresses

Primary practice location

2085 Highway A1A
Unit 3702
Indian Harbour Beach, FL 32937-1801

Mailing address

2085 Highway A1A
Unit 3702
Indian Harbour Beach, FL 32937-1801
Phone (321) 610-4332

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
563471NYMDRegistered Nurse
RN9258238FLMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RN First, LLC Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1962724302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 HIGHWAY A1A",
            "address_2": "UNIT 3702",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329371801",
            "telephone_number": "321-610-4332",
            "fax_number": "321-610-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 HIGHWAY A1A",
            "address_2": "UNIT 3702",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329371801",
            "telephone_number": "321-610-4332",
            "fax_number": "321-610-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RN,CNOR,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9258238",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "563471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.