Active NPI
Nearla Integrated Healthcare Services LLC
- Family Nurse Practitioner
- Palm Beach Gardens, FL
National Provider Identifier
1558910141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NEARLA INTEGRATED HEALTHCARE SERVICES LLC
- Practice address
- 2401 Pga Blvd Ste 130
Palm Beach Gardens, FL 33410-3515 - Phone
- (561) 316-8202
- Fax
- (561) 461-6203
- NPI assigned
- Sep 6, 2019
- 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
- Marie Marlene Jean, FNP
- Title
- FNP
- Phone
- (561) 358-9151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2401 Pga Blvd Ste 130
Palm Beach Gardens, FL 33410-3515
Mailing address
16404 Valencia Blvd
Loxahatchee, FL 33470-2705
Phone (561) 358-9151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7762 Okeechobee Blvd
West Palm Beach, FL 33411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Loxahatchee, FL
- NPI 1346630092
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579219200000",
"number": "1558910141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16404 VALENCIA BLVD",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334702705",
"telephone_number": "561-358-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 PGA BLVD STE 130",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103515",
"telephone_number": "561-316-8202",
"fax_number": "561-461-6203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEARLA INTEGRATED HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-06",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A",
"authorized_official_last_name": "JEAN",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "MARLENE",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "561-358-9151",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.