Active NPI
Wilmide Edouard, SOLE PROPRIETOR
- Adult Companion
- West Palm Beach, FL
National Provider Identifier
1114708401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 239090
- Practice address
- 3215 Turtle CV
West Palm Beach, FL 33411-6467 - Phone
- (561) 932-7566
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 239090 | FL | Primary |
Addresses
Primary practice location
3215 Turtle CV
West Palm Beach, FL 33411-6467
Mailing address
3215 Turtle CV
West Palm Beach, FL 33411-6467
Phone (561) 932-7566
Other practice location 1
3215 Turtle Cv
West Palm Beach, FL 33411-6467
Phone (561) 932-7566
Other practice location 2
3215 Turtle Cv
West Palm Beach, FL 33411-6467
Phone (561) 932-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34233 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 239090 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1114708401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 TURTLE CV",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334116467",
"telephone_number": "561-932-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 TURTLE CV",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334116467",
"telephone_number": "561-932-7566"
}
],
"practiceLocations": [
{
"address_1": "3215 Turtle Cv",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334116467",
"country_code": "US",
"telephone_number": "561-932-7566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3215 Turtle Cv",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334116467",
"country_code": "US",
"telephone_number": "561-932-7566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDOUARD",
"first_name": "WILMIDE",
"credential": "SOLE PROPRIETOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "239090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34233",
"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 Oct 11, 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.