PCP 1ST (NPI# 1710515564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710515564 |
| Entity Type | Organization |
| Organization Name | PCP 1ST |
| Practice Address |
17188 Newport Club Dr Boca Raton FL 33496-3009 |
| Mailing Address |
2901 Clint Moore Rd # 119 Boca Raton FL 33496-2041 |
| Practice Telephone | 9548033564 |
| Mailing Telephone | 9548033564 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |
| Authorized Official Name | YEENY GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 9548033564 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| PCP 1st | Doing Business As Name - Organization |
| Street Address |
17188 NEWPORT CLUB DR |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| 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 |
|---|---|---|---|---|
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
| 1063029759 | Ayla Charm | Nurse Practitioner | 9738 Richmond Cir, Boca Raton, FL 33434-2315 | 2020-09-26 |
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1083179030 | Mylinh Seagull | Nurse Practitioner | 19664 Dinner Key Dr, Boca Raton, FL 33498-4538 | 2019-02-04 |
| 1629580469 | Marcia Iesha Walker | Nurse Practitioner | 777 Glades Rd Rm 102, Boca Raton, FL 33431-6424 | 2017-11-02 |
| 1891206041 | Premier Medical Housecalls LLC | Nurse Practitioner | 1825 Nw Corporate Blvd Ste 110, Boca Raton, FL 33431-8554 | 2017-10-16 |
| 1962911859 | Arielle Tsiporah Moskowitz | Nurse Practitioner | 7258 Arcadia Court, Boca Raton, FL 33433 | 2017-09-24 |
| 1740705607 | Michelle Karen Feffer | Nurse Practitioner | 1500 Nw 10th Ave Ste 101, Boca Raton, FL 33486-1344 | 2017-08-11 |
| 1497209126 | Mia Abraham | Nurse Practitioner | 825 Meadows Rd Ste 811, Boca Raton, FL 33486-2347 | 2016-08-10 |
| 1861842155 | Marathon Health, Inc. | Nurse Practitioner | 801 Meadows Rd Ste 102, C/o Brrh Employee Health Center, Boca Raton, FL 33486-2346 | 2016-06-16 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
Please comment or provide details below to improve the information on PCP 1ST.
| 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.