Individual provider Active NPI

Nathan Nevil Howard, PA-C

  • Physician Assistant
  • Royal Palm Beach, FL
National Provider Identifier
1104449024
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114672 Issued in FL
Practice address
420 S State Road 7 Ste 112
Royal Palm Beach, FL 33414-4304
Phone
(561) 464-6380
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114672 FL Primary
Psychiatry Physician 2084P0800X PA9114672 FL

Addresses

Primary practice location

420 S State Road 7 Ste 112
Royal Palm Beach, FL 33414-4304

Mailing address

703 SW Keats Ave
Palm City, FL 34990-1322
Phone (239) 839-1034

Other practice location 1

3745 11th Cir Ste 109
Vero Beach, FL 32960-4838
Phone (561) 556-7248

Other practice location 2

1111 SE Federal Hwy Ste 330
Stuart, FL 34994-3839
Phone (561) 556-7248

Other practice location 3

3365 Burns Rd Ste 203
Palm Beach Gardens, FL 33410-4303
Phone (561) 220-8439

Other practice location 4

10301 Hagen Ranch Rd Ste D720
Boynton Beach, FL 33437-3777
Phone (561) 532-1462

Other practice location 5

8030 Peters Rd Ste D106
Plantation, FL 33324-4038
Phone (561) 464-6380

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
I20230921000557 FL Practitioner - Physician Assistant 5991159261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9114672FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner-Webb University PastSince May 1, 2020 Accepting new patients
Gardner-Webb University PastSince May 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1104449024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SW KEATS AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901322",
            "telephone_number": "239-839-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE ROAD 7 STE 112",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144304",
            "telephone_number": "561-464-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3745 11th Cir Ste 109",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604838",
            "country_code": "US",
            "telephone_number": "561-556-7248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 SE Federal Hwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349943839",
            "country_code": "US",
            "telephone_number": "561-556-7248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3365 Burns Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104303",
            "country_code": "US",
            "telephone_number": "561-220-8439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 Hagen Ranch Rd Ste D720",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373777",
            "country_code": "US",
            "telephone_number": "561-532-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8030 Peters Rd Ste D106",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333244038",
            "country_code": "US",
            "telephone_number": "561-464-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "NATHAN",
        "middle_name": "NEVIL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114672",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "PA9114672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.