Organization Active NPI

Your Health Nurse Practitioner

  • Primary Care Clinic/Center
  • Wellington, FL
National Provider Identifier
1194180703
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9182389 Issued in FL
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

Updated by the provider on Dec 24, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0012166-00MedicaidFL
1578712220OtherFLNPI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.