NPI |
1972052595 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Last Name Legal Name |
GREENFEST |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
CLAIRE |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider First Line Business Practice Location Address |
3711 SW 160TH AVE |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Second Line Business Practice Location Address |
APT. 107 |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Business Practice Location Address City Name |
MIRAMAR |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
FL |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Business Practice Location Address Postal Code |
330274658 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address Telephone Number |
3055056275 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
9/23/2016 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
9/23/2016 |
The telephone number associated with the location address of the provider being identified. |
Provider Gender Code |
F |
The telephone number associated with the location address of the provider being identified. |
Healthcare Provider Taxonomy Code 1 |
103TB0200X |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider License Number 1 |
G651-113-90-844-0 |
The date that a record was last updated or changed. |
Provider License Number State Code 1 |
FL |
The date that a record was last updated or changed. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form. |
Is Sole Proprietor |
Y |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |