The Doctor Nurse for Healthy Aging LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

THE DOCTOR NURSE FOR HEALTHY AGING LLC

Practice address

777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6496

Phone

(561) 297-0502

Fax

(561) 297-0505

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Alice W Brumley, DNPNPI 1942941497

Title

Primary Care Provider

Phone

(561) 462-0622

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice W Brumley, DNP

  • Primary Care Nurse Practitioner
  • Boca Raton, FL
  • NPI 1942941497

  Gerontology

  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1336901024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21575 KAPOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333718",
            "telephone_number": "561-462-0622",
            "fax_number": "561-287-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD BLDG AZ-79",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316496",
            "telephone_number": "561-297-0502",
            "fax_number": "561-297-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21575 Kapok Cir",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333718",
            "country_code": "US",
            "telephone_number": "561-462-0622",
            "fax_number": "561-287-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE DOCTOR NURSE FOR HEALTHY AGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "BRUMLEY",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRIMARY CARE PROVIDER",
        "authorized_official_telephone_number": "561-462-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.