Active NPI
Thamarre Paulino, NURSE PRACTITIONER
- Family Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9204367
- Practice address
- 3702 Washington St Ste 403
Hollywood, FL 33021-8284 - Phone
- (954) 265-3982
- Fax
- (954) 893-6518
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9204367 | FL | Primary |
Addresses
Primary practice location
3702 Washington St Ste 403
Hollywood, FL 33021-8284
Mailing address
3341 Johnson St
Hollywood, FL 33021-5419
Phone (954) 265-3982
Other practice location 1
3341 Johnson St
Hollywood, FL 33021-5419
Phone (954) 265-3982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3341 Johnson St
Hollywood, FL 33021-5419
Phone (954) 265-3982
Hospital & facility affiliations
- Memorial Regional Hospital
- Memorial Hospital Pembroke
- Memorial Hospital West
- Memorial Hospital Miramar
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9204367 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Chiro Worx Injury Center Inc | Current | Accepting new patients | |
| Urgent Medical Center Inc | Current | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
3702 Washington St
Ste 403
Hollywood, FL 33021
Phone (954) 265-3982
3341 Johnson St
Hollywood, FL 33021
Phone (954) 265-3982
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
6931 W Broward Blvd
Plantation, FL 33317
Phone (954) 321-5191
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Hollywood, FL
- NPI 1740655455
-
- Urgent Care Clinic/Center
- Plantation, FL
- NPI 1609098250
-
- Primary Care Clinic/Center
- Plantation, FL
- NPI 1801524459
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1003211707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215419",
"telephone_number": "954-265-3982",
"fax_number": "954-893-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 WASHINGTON ST STE 403",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218284",
"telephone_number": "954-265-3982",
"fax_number": "954-893-6518"
}
],
"practiceLocations": [
{
"address_1": "3341 Johnson St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330215419",
"country_code": "US",
"telephone_number": "954-265-3982",
"fax_number": "954-893-6518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAULINO",
"first_name": "THAMARRE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9204367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.