Individual provider Active NPI

Andra Opalinski

  • Pediatric Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1255786414
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9226390 Issued in FL
Practice address
1650 Osceola Dr
West Palm Beach, FL 33409-5038
Phone
(561) 803-8880
NPI assigned
Apr 25, 2016
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9226390 FL Primary

Addresses

Primary practice location

1650 Osceola Dr
West Palm Beach, FL 33409-5038

Mailing address

1650 Osceola Dr
West Palm Beach, FL 33409-5038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9226390FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Atlantic University CurrentSince Aug 1, 2021 Accepting new patients

Locations

1650 Osceola Dr
West Palm Beach, FL 33409
Phone (561) 803-8880

720 8th St
West Palm Beach, FL 33401
Phone (561) 803-8880

Organizations & group practices 1

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1255786414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038",
            "telephone_number": "561-803-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPALINSKI",
        "first_name": "ANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9226390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.