Active NPI
Marjorie Paraison-Dorelien
- Family Nurse Practitioner
- North Lauderdale, FL
National Provider Identifier
1457024986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11014194
- Practice address
- 8280 SW 24TH St Apt 211
North Lauderdale, FL 33068-5189 - Phone
- (305) 720-3815
- NPI assigned
- Jul 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11014194 | FL | Primary |
Addresses
Primary practice location
8280 SW 24TH St Apt 211
North Lauderdale, FL 33068-5189
Mailing address
PO Box 8255
Coral Springs, FL 33075-8255
Phone (305) 720-3815
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 |
|---|---|---|---|
| 11014194 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT Health of Florida LLC | Current | Accepting new patients | |
| Wound Technology Network | Past | Accepting new patients |
Locations
200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263
5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702
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.
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- Orlando, FL
- NPI 1962601393
-
- Podiatrist
- Hollywood, FL
- NPI 1831397041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1457024986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8255",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330758255",
"telephone_number": "305-720-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8280 SW 24TH ST APT 211",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330685189",
"telephone_number": "305-720-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAISON-DORELIEN",
"first_name": "MARJORIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11014194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.