Individual provider Active NPI

Erla Mytho Brizeus-Pierre, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1295222073
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9313074 Issued in FL
Practice address
734 Belvedere Rd
West Palm Beach, FL 33405-1108
Phone
(561) 703-9203
NPI assigned
Apr 17, 2018
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9313074 FL Primary
Internal Medicine Physician 207R00000X 9313074 FL

Addresses

Primary practice location

734 Belvedere Rd
West Palm Beach, FL 33405-1108

Mailing address

6337 Country Fair Cir
Boynton Beach, FL 33437-2823
Phone (561) 703-9203

Other names 1

  • Erla Mytho Brizeus-Pierre Professional 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
I20240308002283 FL Practitioner - Nurse Practitioner 3577909878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9313074FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Polyclinique de Westpalm Beach Past Accepting new patients
Polyclinique de West Palm Beach Inc PastSince Aug 14, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10599/brand/1/csg/1/fhir/r4

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1295222073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 COUNTRY FAIR CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372823",
            "telephone_number": "561-703-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 BELVEDERE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051108",
            "telephone_number": "561-703-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZEUS-PIERRE",
        "first_name": "ERLA",
        "middle_name": "MYTHO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9313074",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "9313074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERLA",
            "last_name": "BRIZEUS-PIERRE",
            "middle_name": "MYTHO",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.