Individual provider Active NPI

Amide Philogene Necence

  • Licensed Practical Nurse
  • West Palm Beach, FL
National Provider Identifier
1083311864
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
5166430 Issued in FL
Practice address
113 Porter PL
West Palm Beach, FL 33409-3709
Phone
(561) 856-5194
Fax
(561) 686-4142
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5166430 FL Primary

Addresses

Primary practice location

113 Porter PL
West Palm Beach, FL 33409-3709

Mailing address

113 Porter PL
West Palm Beach, FL 33409-3709
Phone (561) 856-5194

Other identifiers 1

IdentifierTypeStateIssuer
693630096MedicaidFL

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
5166430FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lani Loving Care Inc. Current Accepting new patients
Am Loving Care PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1083311864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PORTER PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093709",
            "telephone_number": "561-856-5194",
            "fax_number": "561-686-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PORTER PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093709",
            "telephone_number": "561-856-5194",
            "fax_number": "561-686-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECENCE",
        "first_name": "AMIDE",
        "middle_name": "PHILOGENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5166430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693630096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.