Active NPI
Your Health Nurse Practitioner
- Primary Care Clinic/Center
- Wellington, FL
National Provider Identifier
1194180703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 9182389
- Legal business name
- YOUR HEALTH NURSE PRACTITIONER
- Practice address
- 2060 Greenview Shores Blvd
Apt 315
Wellington, FL 33414-2731 - Phone
- (561) 452-8563
- Fax
- (561) 318-6885
- NPI assigned
- Dec 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynda Germeil Baldeosingh, ARNP
- Title
- Authorized Member
- Phone
- (561) 318-6885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 9182389 | FL | Primary |
Addresses
Primary practice location
2060 Greenview Shores Blvd
Apt 315
Wellington, FL 33414-2731
Mailing address
2060 Greenview Shores Blvd
Apt 315
Wellington, FL 33414-2731
Phone (561) 452-8563
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012166-00 | Medicaid | FL | |
| 1578712220 | Other | FL | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450915200000",
"number": "1194180703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 GREENVIEW SHORES BLVD",
"address_2": "APT 315",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334142731",
"telephone_number": "561-452-8563",
"fax_number": "561-318-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 GREENVIEW SHORES BLVD",
"address_2": "APT 315",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334142731",
"telephone_number": "561-452-8563",
"fax_number": "561-318-6885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR HEALTH NURSE PRACTITIONER",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-24",
"last_updated": "2015-12-24",
"status": "A",
"authorized_official_last_name": "BALDEOSINGH",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "GERMEIL",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "561-318-6885",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "9182389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012166-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578712220",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.