Individual provider Active NPI

Denetra Monique Saulsby, BS

  • Case Manager/Care Coordinator
  • West Palm Beach, FL
National Provider Identifier
1457726416
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
S421173797450 Issued in FL
Practice address
1639 Forum PL
Suite #7
West Palm Beach, FL 33401-2330
Phone
(561) 712-8821
Fax
(561) 712-8070
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X S421173797450 FL Primary

Addresses

Primary practice location

1639 Forum PL
Suite #7
West Palm Beach, FL 33401-2330

Mailing address

1639 Forum PL
Suite #7
West Palm Beach, FL 33401-2330
Phone (561) 712-8821

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
S421173797450FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1457726416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL",
            "address_2": "SUITE #7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821",
            "fax_number": "561-712-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL",
            "address_2": "SUITE #7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821",
            "fax_number": "561-712-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULSBY",
        "first_name": "DENETRA",
        "middle_name": "MONIQUE",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "S421173797450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 2015; 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.