Organization Active NPI

Primary and Transitional Care Service

  • Primary Care Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1558035352
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIMARY AND TRANSITIONAL CARE SERVICE
Practice address
1501 11TH St
West Palm Beach, FL 33401-3038
Phone
(561) 537-9028
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Kenol Ciceron, FNP
Title
Aprn
Phone
(561) 537-9028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1501 11TH St
West Palm Beach, FL 33401-3038

Mailing address

1501 11TH St
West Palm Beach, FL 33401-3038
Phone (561) 537-9028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1558035352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 11TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013038",
            "telephone_number": "561-537-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 11TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013038",
            "telephone_number": "561-537-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY AND TRANSITIONAL CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "CICERON",
        "authorized_official_first_name": "KENOL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "561-537-9028",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "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 Aug 4, 2021; 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.