FAMILY FIRST DIRECT PRIMARY CARE LLC (NPI# 1528626587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528626587 |
| Entity Type | Organization |
| Organization Name | FAMILY FIRST DIRECT PRIMARY CARE LLC |
| Practice Address |
2247 Palm Beach Lakes Blvd Ste 206 West Palm Beach FL 33409-3413 |
| Mailing Address |
538 Cypress Dr Lake Park FL 33403-3335 |
| Practice Telephone | 5616679216 |
| Mailing Telephone | 5616679216 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | LASHUNDA BLACKSHEAR (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5616679216 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY FIRST DIRECT PRIMARY CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2247 PALM BEACH LAKES BLVD STE 206 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316397912 | Taraneisha Ryshan Burgess | Nurse Practitioner | 2247 Palm Beach Lakes Blvd Ste 206, West Palm Beach, FL 33409-3413 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1699242289 | Latanya Hutton | Nurse Practitioner | 1320 Woodcrest Rd E, West Palm Beach, FL 33417-5751 | 2018-11-01 |
| 1609234525 | Jessica Ruiseco | Nurse Practitioner | 1117 N Olive Ave Ste 203, West Palm Beach, FL 33401-3520 | 2016-02-05 |
| 1821420597 | Jessica Leigh Kikla | Nurse Practitioner | 900 Osceola Dr, Suite 201, West Palm Beach, FL 33409-5000 | 2013-08-05 |
| 1932706165 | Nia Spicer | Nurse Practitioner | 2101 Vista Pkwy Ste 291, West Palm Beach, FL 33411-2706 | 2020-10-01 |
| 1528532678 | Maria Paula Flores | Nurse Practitioner | 901 Village Blvd Ste 702, West Palm Beach, FL 33409-1947 | 2019-01-11 |
| 1689143422 | Sharissa Youngblood | Nurse Practitioner | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2018-11-23 |
| 1720586860 | Champions for Healing LLC | Nurse Practitioner | 2054 Vista Pkwy Ste 400, West Palm Beach, FL 33411-6742 | 2018-01-23 |
| 1154839223 | Lynda Rivers | Nurse Practitioner | 8200 Okeechobee Blvd, West Palm Beach, FL 33411-2099 | 2018-01-11 |
| 1265944979 | Jannell Chakakhan Russell-williams | Nurse Practitioner | 400 Executive Center Dr, West Palm Beach, FL 33401-2917 | 2017-11-02 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on FAMILY FIRST DIRECT PRIMARY CARE 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.