Individual provider Active NPI

Rachel Cemelus, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1457025298
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005808 Issued in FL
Practice address
2901 W Cypress Creek Rd Ste 123
Fort Lauderdale, FL 33309-1732
Phone
(954) 708-0290
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11005808 FL
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11005808 FL Primary

Addresses

Primary practice location

2901 W Cypress Creek Rd Ste 123
Fort Lauderdale, FL 33309-1732

Mailing address

2901 W Cypress Creek Rd Ste 123
Fort Lauderdale, FL 33309-1732
Phone (954) 915-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11005808FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Recovery Center of South Florida CurrentSince Jun 11, 2023 Accepting new patients
TLC Recovery Center of S Florida, LLC Multi-Specialty PastSince Jun 11, 2023 Accepting new patients

Locations

2901 W Cypress Creek Rd
Ste 123
Ft Lauderdale, FL 33309
Phone 9549157444 ext. 525

Organizations & group practices 2

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1457025298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 123",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091732",
            "telephone_number": "954-915-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 123",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091732",
            "telephone_number": "954-708-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEMELUS",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11005808",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.