NP MOBILE MEDICAL GROUP, LLC (NPI# 1154780450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154780450 |
| Entity Type | Organization |
| Organization Name | NP MOBILE MEDICAL GROUP, LLC |
| Practice Address |
11580 Mellow Ct West Palm Beach FL 33411-9125 |
| Practice Telephone | 5612673345 |
| Practice Fax Number | 8889394244 |
| Mailing Telephone | 5612673345 |
| Mailing Fax Number | 8889394244 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | MICHELLE BOWMAN (PRESIDENT) |
| Authorized Official Telephone | 5617192223 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9214512 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA PROVIDER NUMBER | 7511795 | 01 | |
| BCBS | YOM6J | 01 |
| Street Address |
11580 MELLOW CT |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33411-9125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790110039 | Michelle B Conklin | Nurse Practitioner | 11580 Mellow Ct, West Palm Beach, FL 33411-9125 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819675 | Iserna Narcisse | Nurse Practitioner | 1433 Woodcrest Rd W, West Palm Beach, FL 33417-5732 | 2020-10-24 |
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1447858535 | Abigael Paulina Bassin | Nurse Practitioner | 5405 Okeechobee Blvd Ste 306, West Palm Beach, FL 33417-4554 | 2020-10-12 |
| 1316544596 | Barbara K Weddle | Nurse Practitioner | 591 Evernia St Apt 1519, West Palm Beach, FL 33401-5781 | 2020-10-01 |
| 1558978023 | Dalia Magdalena Secin Santana | Nurse Practitioner | 940 Green St, West Palm Beach, FL 33405-3002 | 2020-09-28 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1467065607 | Monica Gabriella Mcguire | Nurse Practitioner | 1015 Upland Rd, West Palm Beach, FL 33401-7551 | 2020-08-27 |
| 1023629326 | Heidi Haase | Nurse Practitioner | 12775 Tangerine Blvd, West Palm Beach, FL 33412-2039 | 2020-08-11 |
| 1528686250 | Meibol Mas San Juan | Nurse Practitioner | 1495 Forest Hill Blvd Ste D, West Palm Beach, FL 33406-6073 | 2020-07-09 |
| 1598382707 | Alicia Arce Bejerano | Nurse Practitioner | 396 Caroline Ave, West Palm Beach, FL 33413-1819 | 2020-07-03 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on NP MOBILE MEDICAL GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.