Dudley Philistin

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

16821 NE 6TH Ave
North Miami Beach, FL 33162-2405

Phone

(786) 953-6534

Fax

(786) 250-1938

NPI assigned

Dec 29, 2023

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1841069911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 NW 72ND AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333193461",
            "telephone_number": "954-864-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 NE 6TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622405",
            "telephone_number": "786-953-6534",
            "fax_number": "786-250-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 NW 72nd Ave",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333193461",
            "country_code": "US",
            "telephone_number": "954-864-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILISTIN",
        "first_name": "DUDLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA214556",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Petzold
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• Wolseley Phanor
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• Neldine Philippe
• Nica Philistin
• Physicians Creek Inc
• Physicians Creek Inc
• Physicians Creek Inc (Mercy Hospital, Jackson Health Services, Westchester General Hospital,)
• Fanie Pierre, ARNP

• Doula in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Doula in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.