NPIMap

Organization Active NPI

Florida Atlantic University

  • Federally Qualified Health Center (FQHC)
  • West Palm Beach, FL
National Provider Identifier
1376856658
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FLORIDA ATLANTIC UNIVERSITY
Practice address
720 8TH St
West Palm Beach, FL 33401-3606
Phone
(561) 803-8880
Fax
(877) 409-1795
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Louisa Pontiroli Kelly
Title
Authorized Official
Phone
(561) 803-8880

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
School Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SS0200X

Addresses

Primary practice location

720 8TH St
West Palm Beach, FL 33401-3606

Mailing address

720 8TH St
West Palm Beach, FL 33401-3606
Phone (561) 803-8880

Other identifiers 4

IdentifierTypeStateIssuer
127082701MedicaidFL
K3331COtherFLFQHC-MEDICARE
C111027OtherFLFQHC-MEDICARE
002Z8OtherFLBCBS

Other names 1

  • COMMUNITY HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Board of Trustees of Florida Atlantic University8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

777 Glades Rd
Ste 215
Boca Raton, FL 33431
Phone (561) 989-8595

1650 Osceola Dr
West Palm Beach, FL 33409
Phone (561) 803-8880

5205 Greenwood Ave
West Palm Beach, FL 33407
Phone (561) 244-9499

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1376856658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 8TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013606",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 8TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013606",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ATLANTIC UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "PONTIROLI KELLY",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-803-8880"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127082701",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC-MEDICARE",
            "identifier": "K3331C",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC-MEDICARE",
            "identifier": "C111027",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "002Z8",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 2025; 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.