Palm Family Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALM FAMILY HEALTH LLC

Practice address

1600 Sarno Rd Ste 21
Melbourne, FL 32935-4992

Phone

(321) 610-1017

Fax

(321) 610-7449

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Mary Angela McCarthy, APRNNPI 1295213346

Title

Owner/Nurse Practitioner

Phone

(321) 610-1017

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Mary Angela McCarthy, ARNP

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1295213346
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1548845456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD STE 21",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354992",
            "telephone_number": "321-610-1017",
            "fax_number": "321-610-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD STE 21",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354992",
            "telephone_number": "321-610-1017",
            "fax_number": "321-610-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "321-610-1017",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NP776",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Paisley, LMHC
• Christin Pajuelo, APRN
• Julieta Pajuelo, APRN
• Palm Bay Anesthesia, Inc
• Palm Beach First Assist, LLC
• Doreen Palmer-Perez
• Madelynn Marie Palmer
• Shelby Palmer
• Paloma Academy Inc
• Roberto Andres Palou de Jesus

• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.