Individual provider Active NPI

Rachael Nicole Norman, FNP-C

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1366050569
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008053 Issued in FL
Practice address
21644 State Road 7
Boca Raton, FL 33428-1842
Phone
(561) 488-8000
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11008053 FL Primary

Addresses

Primary practice location

21644 State Road 7
Boca Raton, FL 33428-1842

Mailing address

30 Beechdale LN
Boynton Beach, FL 33426-8433
Phone (561) 376-3349

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
I20210216001866 FL Practitioner - Nurse Practitioner 1557776093 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008053FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Jan 13, 2021 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 13, 2021 Accepting new patients
Bilga Attar MD PA CurrentSince Jan 2, 2023 Accepting new patients
Mr Health Group LLC CurrentSince Sep 13, 2023 Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

13455 S Military Trl
Ste A
Delray Beach, FL 33484
Phone (561) 288-6153

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1366050569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BEECHDALE LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268433",
            "telephone_number": "561-376-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21644 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281842",
            "telephone_number": "561-488-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "RACHAEL",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.