Individual provider Active NPI

Paulina Andrea Dubov, FNP-C

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1194429936
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025469 Issued in FL
Practice address
14572 White Jade Ter
Delray Beach, FL 33446-2230
Phone
(561) 504-4586
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11025469 FL Primary

Addresses

Primary practice location

14572 White Jade Ter
Delray Beach, FL 33446-2230

Mailing address

14572 White Jade Ter
Delray Beach, FL 33446-2230
Phone (561) 504-4586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240229001995 FL Practitioner - Nurse Practitioner 4082059076
I20240621001542 MD Practitioner - Nurse Practitioner 4082059076
I20240717004978 VA Practitioner - Nurse Practitioner 4082059076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11025469FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1194429936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14572 WHITE JADE TER",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462230",
            "telephone_number": "561-504-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14572 WHITE JADE TER",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462230",
            "telephone_number": "561-504-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOV",
        "first_name": "PAULINA",
        "middle_name": "ANDREA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.