SHARISSA YOUNGBLOOD (NPI# 1689143422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689143422 |
| Entity Type | Individual |
| Full Name | SHARISSA YOUNGBLOOD |
| Credential | APRN |
| Practice Address |
4847 David S Mack Dr West Palm Beach FL 33417-8023 |
| Mailing Address |
11282 Millpond Greens Dr Boynton Beach FL 33473-7800 |
| Practice Telephone | 5618682999 |
| Practice Fax Number | 5612932511 |
| Mailing Telephone | 5617897465 |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2018-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11000257 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4847 DAVID S MACK DR |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33417-8023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796217 | Joseph L Morse Health Center, Inc. | Skilled Nursing Facility | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2007-01-18 |
| 1083235196 | Jayne Millman | Nurse Practitioner | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2020-04-29 |
| 1548720253 | Samantha Burchette | Nurse Practitioner | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2019-03-20 |
| 1407335219 | Morselife Hospice Institute, Inc. | Hospice Care, Community Based | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2018-08-13 |
| 1740333244 | Joseph L Morse Health Center, Inc. | Nurse Practitioner | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649740838 | Anthony Armour | Massage Therapist | 3280 Anthony Cir N, West Palm Beach, FL 33417 | 2018-11-29 |
| 1811473432 | My Visiting Provider | General Practice | 100 Century Blvd Ste 201, West Palm Beach, FL 33417 | 2018-07-17 |
| 1861911240 | Darlene Izquierdo | Behavioral Analyst | 2244 49th Dr N, West Palm Beach, FL 33417 | 2017-09-16 |
| 1942690409 | Rispler Podiatry Inc | Podiatrist | 5930 Okeechobee Boulevard, West Palm Beach, FL 33417 | 2015-02-04 |
| 1386910305 | Integrative Foot and Ankle LLC | Podiatrist | 5405 Okeechobee Blvd #303, West Palm Beach, FL 33417 | 2012-03-23 |
| 1285913780 | Edwin Rivera | Counselor | 4427 Willow Pond Road, West Palm Beach, FL 33417 | 2011-08-15 |
| 1306130281 | Morselife Hospice Institute, Inc. | Clinic/Center | 4855 Fred Gladstone Dr, West Palm Beach, FL 33417 | 2011-06-08 |
| 1972827061 | Palm Beach Foot & Ankle Inc | Podiatrist | 110 Century Village Blvd., West Palm Beach, FL 33417 | 2010-03-18 |
| 1558485722 | Morselife Home Care Inc. | Home Health | 4920 Loring Drive, West Palm Beach, FL 33417 | 2007-03-16 |
| 1427169440 | Dmd Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 110 Century Village Blvd, 1st Floor, West Palm Beach, FL 33417 | 2006-08-31 |
| Find all providers in zip 33417 | ||||
| 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 |
| 1528626587 | Family First Direct Primary Care LLC | Nurse Practitioner | 2247 Palm Beach Lakes Blvd Ste 206, West Palm Beach, FL 33409-3413 | 2019-06-04 |
| 1528532678 | Maria Paula Flores | Nurse Practitioner | 901 Village Blvd Ste 702, West Palm Beach, FL 33409-1947 | 2019-01-11 |
| 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 | 33417 |
Please comment or provide details below to improve the information on SHARISSA YOUNGBLOOD.
| 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.