Tasha Devericks-Recalde

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11017682 Issued in FL

Practice address

4847 David S Mack Dr
West Palm Beach, FL 33417-8023

Phone

(561) 868-6573

NPI assigned

May 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Morselife Hospice Institute IncGroup PAC ID 6002080876, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morselife Hospice Institute, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
  • NPI 1932971074
  Medicare reassignment Care Compare group NPD
• Morselife Hospice Institute, Inc.

  • Community Based Hospice Care Agency
  • West Palm Beach, FL
  • NPI 1407335219
  NPD (past)

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1598513236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 DAVID S MACK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178023",
            "telephone_number": "561-868-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 DAVID S MACK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178023",
            "telephone_number": "561-868-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERICKS-RECALDE",
        "first_name": "TASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Devallon
• Mona Devanesan, M.D.
• Christian Lloyd Devault, PHARM.D.
• Rokeesha Deveaux
• Alison Lynn Dever, BCBA, M.S
• Carol Ann Devine, ARNP
• Brian Curtis Dewey, DDS
• Sharon Dexter
• Nicole Deza Velez, NP
• Karl Marx Dhana, M.D.

• Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.