Active NPI
Pauline Marie Cole, NP
- Adult Health Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1376526202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9202182
- Practice address
- 3651 Fau Blvd Ste 100
Boca Raton, FL 33431-6489 - Phone
- (561) 409-1767
- Fax
- (561) 334-2737
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F301257 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 9202182 | FL | Primary |
Addresses
Primary practice location
3651 Fau Blvd Ste 100
Boca Raton, FL 33431-6489
Mailing address
6077 Bay Isles Dr
Boynton Beach, FL 33437-4110
Phone (716) 812-7957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01972861 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9202182 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Diabetic Solutions PLLC | Current | Accepting new patients | |
| South County Endocrinology P a | Past | Accepting new patients | |
| The Center for Hematology Oncology | Past | Accepting new patients |
Locations
660 Glades Rd
Ste 240
Boca Raton, FL 33431
Phone (561) 368-2005
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Boca Raton, FL
- NPI 1124712054
-
- Endocrinology, Diabetes & Metabolism Physician
- Boca Raton, FL
- NPI 1659337517
-
- Specialist
- Delray Beach, FL
- NPI 1861441420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1376526202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 BAY ISLES DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334374110",
"telephone_number": "716-812-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 FAU BLVD STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316489",
"telephone_number": "561-409-1767",
"fax_number": "561-334-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "PAULINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F301257",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9202182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01972861",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.