Individual provider Active NPI

Olivier Le Gloahec, DNP, FNP

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1780320655
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019583 Issued in FL
Practice address
4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506
Phone
(561) 498-5660
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019583 FL Primary

Addresses

Primary practice location

4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506

Mailing address

2016 Alta Meadows LN Apt 701
Delray Beach, FL 33444-1156
Phone (561) 702-8634

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220808001129 FL Practitioner - Nurse Practitioner 9537541586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Physician Care P aGroup PAC ID 2961456132, 18 clinicians

Practice addresses (Care Compare)

4800 Linton Blvd
F107
Delray Beach, FL 33445-6506
Phone (561) 498-5660

Hospital & facility affiliations

  • All County Health Care, Inc Home health agency, Lauderdale Lakes, FL, CCN 109250
  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019583FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Care P a Family CurrentSince Jul 5, 2022 Accepting new patients

Locations

4800 Linton Blvd
Ste F107
Delray Beach, FL 33445
Phone (561) 498-4223

Interoperability endpoints

  • Direct secure messaging: olivier.le.gloahec@ppc.emedpractice.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1780320655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 ALTA MEADOWS LN APT 701",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441156",
            "telephone_number": "561-702-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456506",
            "telephone_number": "561-498-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE GLOAHEC",
        "first_name": "OLIVIER",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.