Individual provider Active NPI

Edna Talabert, ARNP

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1104331008
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP09207813 Issued in FL
Practice address
2401 Frist Blvd Ste 1
Fort Pierce, FL 34950
Phone
(772) 465-6979
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP09207813 FL Primary

Addresses

Primary practice location

2401 Frist Blvd Ste 1
Fort Pierce, FL 34950

Mailing address

12353 Antille Dr
Boca Raton, FL 33428-4802
Phone (321) 482-9310

Other practice location 1

12353 Antille Dr
Boca Raton, FL 33428-4802
Phone (321) 482-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181119001074 FL Practitioner - Nurse Practitioner 2961756572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

880 NW 13TH St
Suite 300
Boca Raton, FL 33486-2342
Phone (844) 665-4827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Jan 3, 2020 Accepting new patients
Internal Medicine Consultants of Saint Lucie County LLC CurrentSince Aug 4, 2018 Accepting new patients

Locations

880 NW 13th St
Ste 300
Boca Raton, FL 33486

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

2401 Frist Blvd
Ste 1
Fort Pierce, FL 34950
Phone (772) 464-0033

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

Interoperability endpoints

  • Direct secure messaging: edna.talabert@wwmp.eclinicaldirectplus.com

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1104331008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12353 ANTILLE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284802",
            "telephone_number": "321-482-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-465-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12353 Antille Dr",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334284802",
            "country_code": "US",
            "telephone_number": "321-482-9310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALABERT",
        "first_name": "EDNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP09207813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.