SHELLY ATINE (NPI# 1649739996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649739996 |
| Entity Type | Individual |
| Full Name | SHELLY ATINE |
| Practice Address |
6189 Moonbeam Dr Lake Worth FL 33463-6728 |
| Practice Telephone | 5614015541 |
| Mailing Telephone | 5614015541 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11001701 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6189 MOONBEAM DR |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33463-6728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
| Find all providers in zip 33463 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077618 | Christina Lynn Shovick | Nurse Practitioner | 5900 White Cypress Dr, Lake Worth, FL 33467-6229 | 2020-09-14 |
| 1295347946 | Romedrude Faustin | Nurse Practitioner | 4899 Pinemore Ln, Lake Worth, FL 33463-6994 | 2020-08-22 |
| 1740898865 | Suzette W Lindgren | Nurse Practitioner | 7321 Via Luria, Lake Worth, FL 33467-5254 | 2020-07-14 |
| 1386270015 | Christelle Delva | Nurse Practitioner | 7550 Lauden Dr, Lake Worth, FL 33467-7804 | 2020-03-13 |
| 1225676901 | Gilbert Jean Louis | Nurse Practitioner | 6692 Waverly Ln, Lake Worth, FL 33467-7360 | 2019-12-13 |
| 1508411158 | Michelle Ruddock | Nurse Practitioner | 6604 Constance St, Lake Worth, FL 33467-7660 | 2019-08-09 |
| 1457906497 | Sabine Moss | Nurse Practitioner | 7937 Ambleside Way, Lake Worth, FL 33467-7351 | 2019-08-06 |
| 1104488410 | Stefanie Lynn Warren | Nurse Practitioner | 5940 Teakwood Rd, Lake Worth, FL 33467-6349 | 2019-07-08 |
| 1245792365 | Miloude Joaceus | Nurse Practitioner | 5736 Judd Falls Rd E, Lake Worth, FL 33463-1562 | 2019-04-05 |
| 1598224560 | Beverley J West | Nurse Practitioner | 10261 Oak Meadow Ln, Lake Worth, FL 33449-5468 | 2019-03-18 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33463 |
Please comment or provide details below to improve the information on SHELLY ATINE.
| 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.