Individual provider Active NPI

Natacha Etienne, APRN

  • Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1043843279
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
00000 Issued in FL
Practice address
1706 Carriage Brooke Dr
Wellington, FL 33414-6150
Phone
(561) 847-4794
Fax
(561) 847-4574
NPI assigned
Feb 17, 2020
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 00000 FL Primary

Addresses

Primary practice location

1706 Carriage Brooke Dr
Wellington, FL 33414-6150

Mailing address

1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046
Phone (561) 847-4794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210602002387 FL Practitioner - Nurse Practitioner 3971912908 Reassigns benefits to 1 organization
Practice locations: Wellington, FL
I20251114002560 WV Practitioner - Nurse Practitioner 3971912908 Reassigns benefits to 1 organization
I20260429001542 OR Practitioner - Nurse Practitioner 3971912908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Dallas, TX 75244-4910

4055 Valley View LN
Dallas, TX 75244-5074

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Talk Health FL PA CurrentSince Aug 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Trinity Point Medical Center Past Accepting new patients
Care Telehealth Medical Services Ny PC Past Accepting new patients

Locations

1655 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33401

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1043843279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD STE 100",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 CARRIAGE BROOKE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146150",
            "telephone_number": "561-847-4794",
            "fax_number": "561-847-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "NATACHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.