Nicole Mariette Pugh, CNA

Primary specialty

HomemakerTaxonomy code 376J00000X

License

234908 Issued in FL

Practice address

512 79TH Ter N Apt 210
Saint Petersburg, FL 33702

Phone

(727) 810-5002

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pughs Caring Angels LLC

  • Developmental Disabilities Clinic/Center
  • Clearwater, FL
  • NPI 1821515693
  NPD (past) Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295255529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 79TH TER N APT 210",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024372",
            "telephone_number": "727-810-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 79TH TER N APT 210",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-810-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "NICOLE",
        "middle_name": "MARIETTE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pueblo Care FL LLC
• Pierre Andres Puente, M.D.
• Puentes Medical Consultants LLC
• Katheryne Puentes
• Craig Joseph Pugh, RCSWI, MSW
• Megan Lena Pullen
• Nakaysha Pullen
• Celine Princess Punzalan
• Eran Pupkin, A.P.
• Carmen Jean Pupo, MS, LMHC

• Homemaker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.