Individual provider Active NPI

Nicole S Dinovitser, ARNP

  • Pediatric Clinical Nurse Specialist
  • Loxahatchee, FL
National Provider Identifier
1053699231
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
ARNP9277433 Issued in FL
Practice address
12955 Palms West Dr Ste 100
Loxahatchee, FL 33470-9212
Phone
(561) 509-5009
Fax
(561) 738-1822
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X ARNP9277433 FL Primary

Addresses

Primary practice location

12955 Palms West Dr Ste 100
Loxahatchee, FL 33470-9212

Mailing address

1920 Palm Beach Lakes Blvd Ste 240
West Palm Beach, FL 33409-3512
Phone (561) 509-5009

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

State licenses

LicenseStateTypeSpecialty
ARNP9277433FLMDPediatric Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1053699231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD STE 240",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093512",
            "telephone_number": "561-509-5009",
            "fax_number": "561-738-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 PALMS WEST DR STE 100",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709212",
            "telephone_number": "561-509-5009",
            "fax_number": "561-738-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINOVITSER",
        "first_name": "NICOLE",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "FL",
            "license": "ARNP9277433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.