Individual provider Active NPI

Marie Jocelyne Philippe

  • Adult Health Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1215333414
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP-9379298 Issued in FL
Practice address
1600 W Oakland Park Blvd
Oakland Park, FL 33311-1520
Phone
(754) 200-8248
NPI assigned
Nov 15, 2014
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP-9379298 FL Primary

Addresses

Primary practice location

1600 W Oakland Park Blvd
Oakland Park, FL 33311-1520

Mailing address

12171 SW 268TH St
Homestead, FL 33032-8001
Phone (305) 278-0200

Other names 1

  • Marie Jocelyne Philippe Former name

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
I20160422001142 FL Practitioner - Nurse Practitioner 6709185960 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP-9379298FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of South Florida, Inc CurrentSince Jun 11, 2019 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

12171 SW 268th St
Fl Inc
Homestead, FL 33032

1600 W Oakland Park Blvd
Oakland Park, FL 33311
Phone (754) 200-8248

Organizations & group practices 2

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": "1416009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1215333414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "305-278-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111520",
            "telephone_number": "754-200-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPE",
        "first_name": "MARIE",
        "middle_name": "JOCELYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-15",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP-9379298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "PHILIPPE",
            "middle_name": "JOCELYNE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.