KRYSTAL FARNUM
NPI 1457983777
Clinic/Center - Mental Health (Including Community Mental Health Center) in Plantation, FL

Q: What is Shake It Up Foundation LLC's NPI number?

The NPI number for Shake It Up Foundation LLC is 1457983777. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as Krystal Farnum.

Q: What is Shake It Up Foundation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since February 05, 2020

6919 W BROWARD BLVD STE 151, PLANTATION, FL 33317(954) 283-0747 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Krystal Farnum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL FARNUM (NPI 1457983777) is a healthcare organization registered as a mental health (including community mental health center) in Plantation, Florida and active in the NPI registry since February 2020. The organization lists Krystal Farnum, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1457983777

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSHAKE IT UP FOUNDATION LLC

Location Address6919 W BROWARD BLVD STE 151Plantation, FL 33317-2902

Mailing Address6919 W Broward Blvd Ste 151Plantation, FL 33317-2902

Phone(954) 283-0747

Organization SubpartNo

Authorized OfficialKrystal FarnumChief Executive Officer · (570) 540-3465

Enumeration DateFebruary 5, 2020

✔ NPI 1457983777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

6919 W BROWARD BLVD STE 151, Plantation, FL 33317

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Other Names 1

Doing Business AsKrystal Farnum

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shake It Up Foundation LLC's NPI number?

The NPI number for Shake It Up Foundation LLC is 1457983777. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as Krystal Farnum.

Where is Shake It Up Foundation LLC located?

Shake It Up Foundation LLC is located at 6919 W Broward Blvd Ste 151, Plantation, FL 33317. The listed phone number is (954) 283-0747.

What is Shake It Up Foundation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Shake It Up Foundation LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.