Pauline Rozelle Theobalds, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

ARNP2725772 Issued in FL

Practice address

10700 N Kendall Dr Ste 200
Miami, FL 33176

Phone

(305) 270-7999

Fax

(305) 270-6788

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
  • NPI 1710647334
  Medicare reassignment NPD
• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
  • NPI 1679292569
  NPD
• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Winter Haven, FL
  • NPI 1851282016
  NPD
• Women's M.D., LLC

  • Specialist
  • Miami, FL
  • NPI 1659603637
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1053303537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N KENDALL DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761483",
            "telephone_number": "305-270-7999",
            "fax_number": "305-270-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N KENDALL DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-270-7999",
            "fax_number": "305-270-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBALDS",
        "first_name": "PAULINE",
        "middle_name": "ROZELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP2725772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340448000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Thelisdor
• Nemie Thelot, ARNP
• Jessica R Themak, PA
• Thembi Evans DDS PA
• Jessica Simon Thenor, BCBA
• Cassie Alda Theoc, PHARMD
• Theodore T. Lamotta Inc
• Jocelyne Clarines Theodore
• Liseberthe Theodore, ARNP
• Randy Theodule

• Advanced Practice Midwife in Miami, FL
• Providers in Miami, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.