Gertrude Metellus, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5151800 Issued in FL

Practice address

5031 Heron CT
Coconut Creek, FL 33073-2413

Phone

(954) 234-4125

NPI assigned

Jul 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1215389622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 HERON CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732413",
            "telephone_number": "954-234-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 HERON CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732413",
            "telephone_number": "954-234-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELLUS",
        "first_name": "GERTRUDE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5151800",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN684421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Specialists of Florida PA
• Abdon J. Medina, M.D.
• Nidsy Mejia Roque, MD
• Menes Union Corporation
• Skylar Mercer, MS
• Monika P. Michaeli, APRN
• Michele Lanese Inc
• Michelle McNally PSYD PLLC
• Sarah Michner
• Darcy Ann Miholer

• Licensed Practical Nurse in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; 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.