Individual provider Active NPI

Pauline Marie Cole, NP

  • Adult Health Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1376526202
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9202182 Issued in FL
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

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01972861MedicaidNY

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
I20111216000495 FL Practitioner - Nurse Practitioner 3274661079 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9202182FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Diabetic Solutions PLLC CurrentSince Sep 1, 2023 Accepting new patients
South County Endocrinology P a Past Accepting new patients
The Center for Hematology Oncology PastSince May 24, 2014 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.

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

Verify at the official NPI Registry.