Individual provider Active NPI

Paulette Exile

  • Dental Hygienist
  • Tallahassee, FL
National Provider Identifier
1265028005
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH-11791 Issued in FL
Practice address
2700 S Blair Stone Rd Ste B
Tallahassee, FL 32301-5927
Phone
(850) 877-4341
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH-11791 FL Primary

Addresses

Primary practice location

2700 S Blair Stone Rd Ste B
Tallahassee, FL 32301-5927

Mailing address

2300 Bluff Oak Way Apt 2207
Tallahassee, FL 32311-6123
Phone (954) 816-3742

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH-11791FLMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1265028005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BLUFF OAK WAY APT 2207",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116123",
            "telephone_number": "954-816-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S BLAIR STONE RD STE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015927",
            "telephone_number": "850-877-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXILE",
        "first_name": "PAULETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH-11791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.