Organization Active NPI

Nearla Integrated Healthcare Services LLC

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1558910141
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jan 17, 2020

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20200225002202 FL Part B Supplier - Clinic/Group Practice 4981031317 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.