Active NPI
Leroy George Ivey
- Family Nurse Practitioner
- West Palm Beach, FL
National Provider Identifier
1346791522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9319759
- Practice address
- 4021 San Marino Blvd
Apt 308
West Palm Beach, FL 33409-8622 - Phone
- (954) 801-5042
- NPI assigned
- Oct 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9319759 | FL | Primary |
Addresses
Primary practice location
4021 San Marino Blvd
Apt 308
West Palm Beach, FL 33409-8622
Mailing address
4021 San Marino Blvd
Apt 308
West Palm Beach, FL 33409-8622
Phone (954) 801-5042
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9319759 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477094400000",
"number": "1346791522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 SAN MARINO BLVD",
"address_2": "APT 308",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334098622",
"telephone_number": "954-801-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 SAN MARINO BLVD",
"address_2": "APT 308",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334098622",
"telephone_number": "954-801-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "LEROY",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-22",
"last_updated": "2016-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9319759",
"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 Oct 22, 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.