Organization Active NPI

Mynp, LLC

  • Adult Health Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1518328566
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3151722 Issued in FL
Legal business name
MYNP, LLC
Practice address
258 Marlberry Cir
Jupiter, FL 33458-2848
Phone
(561) 379-6421
Fax
(888) 786-0585
NPI assigned
Mar 17, 2016
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Ms. Michelle Trueman, ARNPNPI 1497985527
Title
President/Ceo
Phone
(561) 379-6421

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3151722 FL Primary

Addresses

Primary practice location

258 Marlberry Cir
Jupiter, FL 33458-2848

Mailing address

258 Marlberry Cir
Jupiter, FL 33458-2848
Phone (561) 379-6421

Other identifiers 1

IdentifierTypeStateIssuer
1497985520OtherFLMICHELLE TRUEMAN NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819000261 FL Part B Supplier - Clinic/Group Practice 4789000985 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Ste 4204
Jupiter, FL 33458
Phone (561) 379-6421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1518328566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MARLBERRY CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582848",
            "telephone_number": "561-379-6421",
            "fax_number": "888-786-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MARLBERRY CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582848",
            "telephone_number": "561-379-6421",
            "fax_number": "888-786-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "TRUEMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "561-379-6421",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3151722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHELLE TRUEMAN NPI",
            "identifier": "1497985520",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.