Active NPI
Mirline Richard, RN
- Home Health Registered Nurse
- West Palm Beach, FL
National Provider Identifier
1790261592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN9434377
- Practice address
- 5205 Village Blvd
West Palm Beach, FL 33407-7907 - Phone
- (786) 269-1409
- Fax
- (954) 208-0680
- NPI assigned
- Jul 14, 2018
- Last updated
- Jun 1, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | ||
| Homemaker | 376J00000X | NU | ||
| Nurse's Aide | 376K00000X | NU | ||
| Home Health Registered Nurse | 163WH0200X | RN9434377 | FL | Primary |
Addresses
Primary practice location
5205 Village Blvd
West Palm Beach, FL 33407-7907
Mailing address
5205 Village Blvd
West Palm Beach, FL 33407-7907
Phone (786) 269-1409
Other names 1
- Mrs. Mirline Omega
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9434377 | FL | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Center for Autism | Current | Accepting new patients | |
| Omega Center for Autism | Current | Accepting new patients |
Locations
5205 Village Blvd
West Palm Beach, FL 33407
Phone (561) 242-0505
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.
-
- Clinic/Center
- West Palm Beach, FL
- NPI 1588443287
-
- Behavior Analyst
- West Palm Beach, FL
- NPI 1912463548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1790261592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 VILLAGE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334077907",
"telephone_number": "786-269-1409",
"fax_number": "954-208-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 VILLAGE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334077907",
"telephone_number": "786-269-1409",
"fax_number": "954-208-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "MIRLINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN9434377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRLINE",
"last_name": "OMEGA",
"prefix": "MRS.",
"credential": "MIRLINE OMEGA RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.