Organization Active NPI

My Visiting Provider

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1811473432
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MY VISITING PROVIDER
Practice address
100 Century Blvd Ste 201
West Palm Beach, FL 33417
Phone
(561) 469-8042
Fax
(561) 469-8042
NPI assigned
Jul 17, 2018
Last updated
Feb 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Kevin Lehman, PTNPI 1780986869
Title
Partner
Phone
(561) 676-0320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

100 Century Blvd Ste 201
West Palm Beach, FL 33417

Mailing address

100 Century Blvd Ste 201
West Palm Beach, FL 33417-2262
Phone (561) 469-8042

National Provider Directory

National Provider Directory

Locations

7100 Fairway Dr
Ste 27
Palm Beach Gardens, FL 33418
Phone (561) 323-7275

100 Century Blvd
Ste 201
West Palm Beach, FL 33417
Phone (561) 469-8042

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18745/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1811473432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTURY BLVD STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172262",
            "telephone_number": "561-469-8042",
            "fax_number": "561-469-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY BLVD STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33417",
            "telephone_number": "561-469-8042",
            "fax_number": "561-469-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VISITING PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-676-0320",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 1, 2019; 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.