Individual provider Active NPI

Wilmide Edouard, SOLE PROPRIETOR

  • Adult Companion
  • West Palm Beach, FL
National Provider Identifier
1114708401
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
239090 Issued in FL
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

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34233MedicaidFL

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
239090FLMDAdult 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.

Verify at the official NPI Registry.