Individual provider Active NPI

Wilberte Augusta Polycarpe, LPN

  • Licensed Practical Nurse
  • Boynton Beach, FL
National Provider Identifier
1841768595
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5195258 Issued in FL
Practice address
232 SW 10TH Ave
Boynton Beach, FL 33435-5924
Phone
(561) 260-0293
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5195258 FL Primary

Addresses

Primary practice location

232 SW 10TH Ave
Boynton Beach, FL 33435-5924

Mailing address

232 SW 10TH Ave
Boynton Beach, FL 33435-5924
Phone (561) 260-0293

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

State licenses

LicenseStateTypeSpecialty
PN5195258FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1841768595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SW 10TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355924",
            "telephone_number": "561-260-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 SW 10TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355924",
            "telephone_number": "561-260-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYCARPE",
        "first_name": "WILBERTE",
        "middle_name": "AUGUSTA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5195258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.