Individual provider Active NPI

Mirline Richard, RN

  • Home Health Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1790261592
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN9434377 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RN9434377FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.