Active NPI
Rachel Cemelus, APRN
- Family Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1457025298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11005808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11005808 | FL | |
| Family Nurse Practitioner | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11005808 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Recovery Center of South Florida | Current | Accepting new patients | |
| TLC Recovery Center of S Florida, LLC | Multi-Specialty | Past | 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.
-
- Pharmacy
- Fort Lauderdale, FL
- NPI 1770027187
-
- Substance Abuse Rehabilitation Facility
- Fort Lauderdale, FL
- NPI 1750718714
Multi-Specialty
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.