Active NPI
Lourdes Palomino-Pitocchi, M.D.
- Pediatrics Physician
- Jacksonville Beach, FL
National Provider Identifier
1770576746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME62355
- Practice address
- 274 3Rd Ave S
Jacksonville Beach, FL 32250-6727 - Phone
- (904) 249-3373
- Fax
- (904) 249-3375
- NPI assigned
- Aug 25, 2005
- Last updated
- Sep 1, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME62355 | FL | Primary |
Addresses
Primary practice location
274 3Rd Ave S
Jacksonville Beach, FL 32250-6727
Mailing address
3074 Amellia Dr
Jacksonville, FL 32257-5702
Phone (904) 731-9367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372070500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME62355 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Care Centers, LLC | Pediatrics | Past | Accepting new patients |
| 24/7 Pediatric Care Centers Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lourdes.palomino-pitocchi.1@8042.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Jacksonville Beach, FL
- NPI 1366462103
-
dba 24/7 Pediatric Care Centers
- Pediatrics Physician
- Jacksonville, FL
- NPI 1093546350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1770576746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 AMELLIA DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575702",
"telephone_number": "904-731-9367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 3RD AVE S",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322506727",
"telephone_number": "904-249-3373",
"fax_number": "904-249-3375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMINO-PITOCCHI",
"first_name": "LOURDES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME62355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372070500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.