Active NPI
Primary and Transitional Care Service
- Primary Care Nurse Practitioner
- West Palm Beach, FL
National Provider Identifier
1558035352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
- Last updated
- Aug 4, 2021
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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 DirectoryPractitioners & 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.
-
- Nurse Practitioner
- West Palm Beach, FL
- NPI 1831716539
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
- Edith Gertrudis Prieto Hernandez
- Liliety Prieto Hildalgo
- Marta M Prieto, M.S., LMHC
- Michael Arsenio Prieto, APRN
- Jennifer Noel Prigg, DO
- Primary Care MD LLC
- Primary Care Physicians of West Palm Beach, LLC
- Primary Care Practitioners of West Palm Beach
- Primary Care Specialists of the Palm Beaches
- Prime Access Medical Group
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.