Marie Paulina Thermidor, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11000534 Issued in FL

Practice address

4217 NW 61St CT
Coconut Creek, FL 33073-3277

Phone

(954) 274-4625

NPI assigned

Dec 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1811469901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 NW 61ST CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733277",
            "telephone_number": "954-274-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 NW 61ST CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733277",
            "telephone_number": "954-274-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERMIDOR",
        "first_name": "MARIE",
        "middle_name": "PAULINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Renfrew Center
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• Heather Thompson, PHD, LCSW
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• Tomorrow's Rainbow, Inc.

• Nurse Practitioner in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; 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.