Nicole Antoinette Pearson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 84271 Issued in FL

Practice address

13475 Southern Blvd Ste 202
Loxahatchee Groves, FL 33470-9234

Phone

(561) 509-5009

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.pearson.1@17796.direct.athenahealth.com

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.

• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Loxahatchee Groves, FL
  • NPI 1346209244
  NPD
• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Loxahatchee Groves, FL
  • NPI 1629259072
  NPD
• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • West Palm Beach, FL
  • NPI 1508047952
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1194726430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 901",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096506",
            "telephone_number": "561-509-5009",
            "fax_number": "561-738-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13475 SOUTHERN BLVD STE 202",
            "city": "LOXAHATCHEE GROVES",
            "state": "FL",
            "postal_code": "334709234",
            "telephone_number": "561-509-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Congress Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073291",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "NICOLE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 84271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273574100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "16839",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holistik Therapy LLC
• Yuliya Kutafina, PA-C
• Virginia Pitts Lilienthal, MD
• Palm Beach Pediatrics, LLC
• Palm Beach Pediatrics, LLC
• Publix Super Markets Inc
• Jennifer Griffiths Riddle, ARNP
• Dionne M Skervin, M.D.
• The Orthopedic Surgery Center of Loxahatchee Groves LLC

• Pediatrics Physician in Loxahatchee Groves, FL
• Providers in Loxahatchee Groves, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.