Andrea Rerecich, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP3183512 Issued in FL

Practice address

3505 Shiloh Dr
West Palm Beach, FL 33407-6870

Phone

(561) 242-5443

NPI assigned

Jan 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• District Clinic Holdings, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Palm Beach, FL
  • NPI 1164839841
  NPD (past)

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1184955239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 10TH AVE N",
            "address_2": "SUITE 100",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613141",
            "telephone_number": "561-642-1008",
            "fax_number": "561-802-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 SHILOH DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076870",
            "telephone_number": "561-242-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RERECICH",
        "first_name": "ANDREA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3183512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001816100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renewed Wellness Medical Center LLC
• Renewu
• Mary Renner, OTR/L
• Replenish and Renew Counseling LLC
• Reprieve LLC
• Resilience Recovery Resources LLC
• Cheryl Ann Resling
• Resolution Medical Services, Inc
• Resolutions Medical Services, Inc
• Resolutions Medical Services, Inc

• Pediatric Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.