KEMLINE METELLUS DORVIL (NPI# 1699220426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699220426 |
| Entity Type | Individual |
| Full Name | KEMLINE METELLUS DORVIL |
| Credential | NP-C |
| Practice Address |
400 Executive Center Dr Suite 110 West Palm Beach FL 33401-2917 |
| Practice Telephone | 5614292401 |
| Practice Fax Number | 5614292931 |
| Mailing Telephone | 5614292401 |
| Mailing Fax Number | 5614292931 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AG0416062 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 EXECUTIVE CENTER DR SUITE 110 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449504 | Mary M Colburn | Internal Medicine | 400 Executive Center Dr, Suite 102, West Palm Beach, FL 33401-2917 | 2005-10-04 |
| 1265944979 | Jannell Chakakhan Russell-williams | Nurse Practitioner | 400 Executive Center Dr, West Palm Beach, FL 33401-2917 | 2017-11-02 |
| 1730546854 | The Good Life Treatment Center, LLC | Clinic/Center | 400 Executive Center Dr, Suite 106, West Palm Beach, FL 33401-2917 | 2016-01-20 |
| 1750752507 | Palm Beach Orthodontics Inc | Dentist | 400 Executive Center Dr, Suite 105, West Palm Beach, FL 33401-2917 | 2015-10-19 |
| 1629473913 | Little Smiles Dental of Palm Beach | Dentist | 400 Executive Center Dr, Ste 103, West Palm Beach, FL 33401-2917 | 2014-10-29 |
| 1669711370 | James Scampole | Chiropractor | 400 Executive Center Dr, Suite 202, West Palm Beach, FL 33401-2917 | 2013-02-01 |
| 1104196393 | Thomas P Floyd, Dmd, Pa | Clinic/Center | 400 Executive Center Dr, Suite 103, West Palm Beach, FL 33401-2917 | 2012-01-05 |
| 1255638961 | Mary M. Colburn, M.d., P.a. | Specialist | 400 Executive Center Dr, Suite 102, West Palm Beach, FL 33401-2917 | 2011-02-15 |
| 1730323007 | Scaps Medical, LLC | Internal Medicine | 400 Executive Center Dr, Suite 110, West Palm Beach, FL 33401-2917 | 2009-04-29 |
| 1346406105 | Carrol Ann Fenn | Dentist | 400 Executive Center Dr, Suite # 105, West Palm Beach, FL 33401-2917 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702703 | Kadene Lavern Gordon | Nurse Practitioner | 621 32nd St, West Palm Beach, FL 33407-4813 | 2020-08-28 |
| 1801408984 | Emily J Coppola | Nurse Practitioner | 6116 Sugar Loaf Ln, West Palm Beach, FL 33411-6414 | 2020-08-19 |
| 1518584671 | Alexandra Nicole Schindele | Nurse Practitioner | 330 Summa St, West Palm Beach, FL 33405-4936 | 2020-07-06 |
| 1477176154 | Kannia Plancher | Nurse Practitioner | 3588 Alder Dr Apt F2, West Palm Beach, FL 33417-1179 | 2020-05-28 |
| 1124647789 | Christine Barbato | Nurse Practitioner | 2100 45th St Ste A89, West Palm Beach, FL 33407-2016 | 2020-04-14 |
| 1215576947 | Islande Philippe Michel | Nurse Practitioner | 876 Quartz Ter, West Palm Beach, FL 33413-1200 | 2019-12-28 |
| 1861058406 | Elizabeth Marie Hall | Nurse Practitioner | 1331 Wynnewood Dr, West Palm Beach, FL 33417-5641 | 2019-05-18 |
| 1558836668 | Daniel Patirck Harrison | Nurse Practitioner | 903 Lake Shore Drive, Apt. 102, West Palm Beach, FL 33403 | 2018-10-04 |
| 1699264077 | Noelvis Blanco Paredes | Nurse Practitioner | 4110 Garand Ln, West Palm Beach, FL 33406-2939 | 2018-05-01 |
| 1851802920 | Rachelle Regueiro | Nurse Practitioner | 13762 80th Ln N, West Palm Beach, FL 33412-2343 | 2017-10-17 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on KEMLINE METELLUS DORVIL.
| 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.