Individual provider Active NPI

Thamarre Paulino, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1003211707
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9204367 Issued in FL
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

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420001393 FL Practitioner - Nurse Practitioner 9931407236 Reassigns benefits to 2 organizations
Practice locations: Pembroke Pines, FL

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
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

3341 Johnson St
Hollywood, FL 33021-5419
Phone (954) 265-3982

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9204367FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Aug 15, 2024 Accepting new patients
South Broward Hospital District CurrentSince Aug 15, 2024 Accepting new patients
Chiro Worx Injury Center Inc CurrentSince May 15, 2023 Accepting new patients
Urgent Medical Center Inc CurrentSince May 15, 2023 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.