Nicole Basile MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NICOLE BASILE MD PA

Practice address

1500 N Dixie Hwy Ste 304
West Palm Beach, FL 33401-2717

Phone

(561) 475-5700

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Nicole Ann Basile, MD

Title

Owner

Phone

(561) 475-5700

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1124590757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY STE 304",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012717",
            "telephone_number": "561-475-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY STE 304",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012717",
            "telephone_number": "561-475-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE BASILE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-475-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkeley Anthony Nicholls, D.M.D.
• Amy Marie Nichols, PA-C
• Tanya A Nichols, RN CDE
• Cynthia Lubin Nicolas, MA
• Jeanella C Nicolas, ALLIED HEALTH
• Milagros Nicot Valenciano
• Ledif Nieva Cartaya
• Yary E Nieves Reyes, MS, RMHCI
• Armanda Nieves
• Lourdes Nieves, MD, FAAP

• Nephrology Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.