Kenol Ciceron, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11003887 Issued in FL

Practice address

1501 11TH St
West Palm Beach, FL 33401-3038

Phone

(561) 537-9028

NPI assigned

Jun 29, 2020

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medical Transitional Care Services, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Loxahatchee, FL
  • NPI 1114376506
  Medicare reassignment NPD
• Comrehensive Health & Wellness at Home Inc

  • Family Nurse Practitioner
  • Loxahatchee, FL
  • NPI 1568246510
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1831716539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 11TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013038",
            "telephone_number": "561-537-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 11TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013038",
            "telephone_number": "561-537-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERON",
        "first_name": "KENOL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Christiansen, PHD
• Carrie Christie
• Bradley Chung
• Isabel Chung, MS, RD, LDN
• Richard Chupick
• Marie F Cime Meristil
• Cynthia Cintron
• Yris Yudelkis Ciprian, MS., MFT
• Ann Cipriani, DDS
• Circadian Medical Group, P.C.

• Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.