CERTI-FI NP PLLC NPI 1013639525

NPI Information

  • NPI: 1013639525
  • Provider Name: CERTI-FI NP PLLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Doing Business As: FOREVERBODY
  • CLIA Number: 10D2303936
  • Address: 3174 NW FEDERAL HWY # 3490
    SUITE 302-303
    JENSEN BEACH, FL
    ZIP 34957
  • Phone: (954) 298-2823

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NPI Details

CERTI-FI NP PLLC is a gerontology nurse practitioner in Jensen Beach, FL. CERTI-FI NP PLLC NPI is 1013639525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foreverbody.

The provider's business location address is:

3174 NW FEDERAL HWY # 3490
SUITE 302-303
JENSEN BEACH, FL
ZIP 34957
Phone: (954) 298-2823
Fax: (800) 860-1168

The provider's authorized official is Latoya Cherry .
The authorized official title is Msn, Fnp-bc, Agacnp-bc / Tin Owner and has the following contact phone number (786) 679-5825.

The CLIA number assigned to this NPI record is 10D2303936 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2022 and was last updated on 8/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0000XRegistered NurseWound CareNo
2363LA2100XNurse PractitionerAcute CareNo
3363LF0000XNurse PractitionerFamilyNo
4363LG0600XNurse PractitionerGerontologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19247990OTHERFLORIDALICENSE NUMBER
2116451500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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