Wideline Louis Isidore

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WIDELINE LOUIS ISIDORE

Practice address

8761 S Crescent Dr
Miramar, FL 33025-2525

Phone

(305) 494-9899

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wideline IsidoreNPI 1306536552

Title

Owner

Phone

(305) 494-9899

Specialties & licenses 1

Addresses

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.

• Wideline Isidore

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar, FL
  • NPI 1306536552
  Authorized official Same address or phone

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1528898608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 S CRESCENT DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252525",
            "telephone_number": "305-494-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 S CRESCENT DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252525",
            "telephone_number": "305-494-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDELINE LOUIS ISIDORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ISIDORE",
        "authorized_official_first_name": "WIDELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-494-9899"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Again Instute for Wellness, Inc
• Whole Again Neuropsychology Center Inc
• Whole Care Solutions LLC
• Wholemind Intergrative Psychiatry LLC
• Wholesome Loving Care
• Jarrika Juanita Wiggins, PHARMD
• Alison Doran Wiley, PHARM. D.
• William E. Sanchez, MD PA
• Asha Williams Hunte, RN
• Courtney L Williams, MOT, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.