Organization Active NPI

NRC DNP Telehealth LLC

  • Gerontology Nurse Practitioner
  • Belle Glade, FL
National Provider Identifier
1508596453
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
NRC DNP TELEHEALTH LLC
Practice address
749 W Avenue a
Belle Glade, FL 33430-3011
Phone
(850) 528-8042
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Natalie Roye, DNP, MBA-HCM, APRNNPI 1730587817
Title
Owner/Provider
Phone
(850) 528-8042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

749 W Avenue a
Belle Glade, FL 33430-3011

Mailing address

6405 Dove Chase LN
Fort Worth, TX 76123-1690
Phone (850) 528-8042

Other practice location 1

6405 Dove Chase Lane
Fort Worth, TX 76123
Phone (850) 528-8042

Other practice location 2

600 1st Ave Ste 102
#2016
Seattle, WA 98104-2287
Phone (850) 528-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231111000038 TX Part B Supplier - Clinic/Group Practice 6608250238 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1508596453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 DOVE CHASE LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231690",
            "telephone_number": "850-528-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303011",
            "telephone_number": "850-528-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 Dove Chase Lane",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76123",
            "country_code": "US",
            "telephone_number": "850-528-8042",
            "fax_number": "325-933-2691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 1st Ave Ste 102",
            "address_2": "#2016",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042287",
            "country_code": "US",
            "telephone_number": "850-528-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NRC DNP TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-09-06",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "ROYE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "850-528-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MBA-HCM, APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.