Wilner Thelemaque

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9336489 Issued in FL

Practice address

4601 N Congress Ave Ste 107
West Palm Beach, FL 33407-3381

Phone

(561) 844-4353

NPI assigned

Jan 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1700242559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 107",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-844-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 107",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-844-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Rainwood Cove Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334637449",
            "country_code": "US",
            "telephone_number": "561-891-2742 x89127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THELEMAQUE",
        "first_name": "WILNER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP 9336489",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9336489",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9336489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Right Balance LLC
• The Serene Way Family Services
• Swie H The, MD
• Ben Thebaut, M.D.
• Anu Thekkumkattil, MD
• Mario Theliard, M.D.
• Awilda Theodore
• Rod Theodore
• Therapeutic Health Services, LLC
• Therapeutic Services of the Palm Bea

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.