Individual provider Active NPI

Lyonie Herodia Charles, ARNP-C

  • Family Nurse Practitioner
  • North Palm Beach, FL
National Provider Identifier
1205108495
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9239497 Issued in FL
Practice address
860 US 1
Ste 102C
North Palm Beach, FL 33408-3879
Phone
(561) 282-3924
Fax
(844) 687-7509
NPI assigned
Feb 2, 2012
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 ARNP9239497 FL Primary

Addresses

Primary practice location

860 US 1
Ste 102C
North Palm Beach, FL 33408-3879

Mailing address

11054 57TH Rd N
West Palm Beach, FL 33411-8852
Phone (561) 714-0372

Other identifiers 1

IdentifierTypeStateIssuer
009514100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250505002585 FL Order and Referring Only - Nurse Practitioner 2961646401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9239497FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelee Home Care LLC CurrentSince Jun 28, 2020 Accepting new patients
Nursing Home Physicians PA Family CurrentSince Sep 4, 2013 Accepting new patients
Nursing Home Consultants LLC PastSince Sep 4, 2013 Accepting new patients

Locations

860 US Highway 1
Ste 102C
North Palm Beach, FL 33408
Phone (561) 282-3924

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1205108495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11054 57TH RD N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118852",
            "telephone_number": "561-714-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 US 1",
            "address_2": "STE 102C",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083879",
            "telephone_number": "561-282-3924",
            "fax_number": "844-687-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LYONIE",
        "middle_name": "HERODIA",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9239497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009514100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.