Active NPI
Dawn M Sepulveda, ARNP
- Family Medicine Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 651061541
- Practice address
- 10151 Enterprise Ctr Ste 106
Boynton Beach, FL 33437-3760 - Phone
- (561) 734-7400
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | 651061541 | FL | Primary |
Addresses
Primary practice location
10151 Enterprise Ctr Ste 106
Boynton Beach, FL 33437-3760
Mailing address
10151 Enterprise Ctr
Boynton Beach, FL 33437-3759
Phone (561) 734-7400
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10151 Enterprise Ctr Boulevard
Suite 106
Boynton Beach, FL 33437-3760
Phone (561) 734-7400
Hospital & facility affiliations
- Activa Home Health
- Bethesda Hospital East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ima of South Florida LLC | Current | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 115
Boca Raton, FL 33487
Phone (561) 939-0760
10151 Entrprs Cntr Blvd
Ste 106
Boynton Beach, FL 33437
Phone (561) 734-7400
Interoperability endpoints
- dawn.sepulveda.1@31574.direct.athenahealth.com
Organizations & group practices 1
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
- Boca Raton, FL
- NPI 1144271115
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
- Home Health Agency
- Boynton Beach, FL
- NPI 1780869982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1013430701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 ENTERPRISE CTR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373759",
"telephone_number": "561-734-7400",
"fax_number": "561-734-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 ENTERPRISE CTR STE 106",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373760",
"telephone_number": "561-734-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "DAWN",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "651061541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.