Active NPI
Julouse Etienne, ARNP
- General Practice Registered Nurse
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 9344569
- Practice address
- 1700 S 23Rd St
Fort Pierce, FL 34950-4899 - Phone
- (772) 461-4000
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 9344569 | FL | Primary |
Addresses
Primary practice location
1700 S 23Rd St
Fort Pierce, FL 34950-4899
Mailing address
5574 55TH Ave
Vero Beach, FL 32967-2460
Phone (954) 592-6977
Other names 1
- Julouse Etienne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4243 Sunbeam Rd
Suite 1
Jacksonville, FL 32257-8975
Phone (904) 507-6712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9344569 | FL | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Oahu Home Care LLC | Past | Accepting new patients |
Locations
4243 Sunbeam Rd
Ste 6
Jacksonville, FL 32257
Phone (904) 299-0184
6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
2501 Hunter Pl
Ste 202
Woodbridge, VA 22192
Phone (304) 940-9724
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Fort Lauderdale, FL
- NPI 1396360996
-
- Home Health Agency
- Melbourne, FL
- NPI 1073921284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1669947164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5574 55TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329672460",
"telephone_number": "954-592-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S 23RD ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504899",
"telephone_number": "772-461-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETIENNE",
"first_name": "JULOUSE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "FL",
"license": "9344569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULOUSE",
"last_name": "ETIENNE",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.