Individual provider Active NPI

Eimara Vals Melian, NP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1396471769
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1102025 Issued in FL
Practice address
2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone
(561) 275-7100
Fax
(561) 275-7199
NPI assigned
Jul 28, 2022
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 1102025 FL Primary

Addresses

Primary practice location

2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931

Mailing address

6239 Lake Worth Rd
Greenacres, FL 33463-3003
Phone (561) 593-3525

Other practice location 1

3255 Forest Hill Blvd Ste 107
West Palm Beach, FL 33406-5854
Phone (561) 275-7100

Other practice location 2

846 Fitch Dr
West Palm Beach, FL 33415-3702
Phone (561) 907-2840

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
I20241204000570 FL Practitioner - Nurse Practitioner 7012392574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2628 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone (561) 814-1466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1102025FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palomino Health Center Inc CurrentSince Sep 21, 2024 Accepting new patients

Locations

2628 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 541-0326

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1396471769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633003",
            "telephone_number": "561-593-3525",
            "fax_number": "561-964-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065931",
            "telephone_number": "561-275-7100",
            "fax_number": "561-275-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3255 Forest Hill Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065854",
            "country_code": "US",
            "telephone_number": "561-275-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "846 Fitch Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334153702",
            "country_code": "US",
            "telephone_number": "561-907-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALS MELIAN",
        "first_name": "EIMARA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1102025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.