Active NPI
Pierline Jean Louis, PA
- Family Medicine Physician
- Lauderdale Lakes, FL
National Provider Identifier
1023800620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 002051-P-A
- Practice address
- 4010 NW 34TH St
Lauderdale Lakes, FL 33319-5721 - Phone
- (954) 486-7101
- Fax
- (954) 486-7101
- NPI assigned
- May 20, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TPPA836 | FL | |
| Family Medicine Physician | 207Q00000X | 002051-P-A | PR | Primary |
Addresses
Primary practice location
4010 NW 34TH St
Lauderdale Lakes, FL 33319-5721
Mailing address
4010 NW 34TH St
Lauderdale Lakes, FL 33319-5721
Phone (954) 486-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPPA836 | FL | MD | Family Medicine Physician |
| 002051-P-A | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1023800620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 NW 34TH ST",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195721",
"telephone_number": "954-486-7101",
"fax_number": "954-486-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 NW 34TH ST",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195721",
"telephone_number": "954-486-7101",
"fax_number": "954-486-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN LOUIS",
"first_name": "PIERLINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "TPPA836",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "002051-P-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.