Individual provider Active NPI

Jeanmarie Serge Almonor

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1851898514
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9343940 Issued in FL
Practice address
5932 Sandbirch Way
Lake Worth, FL 33463-7228
Phone
(954) 630-6806
NPI assigned
Apr 10, 2018
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9343940 FL Primary

Addresses

Primary practice location

5932 Sandbirch Way
Lake Worth, FL 33463-7228

Mailing address

5932 Sandbirch Way
Lake Worth, FL 33463-7228
Phone (954) 630-6806

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190128001763 FL Practitioner - Nurse Practitioner 5395082465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Premier Surgery LLCGroup PAC ID 7517401615, 6 clinicians
Wound Care Associates LLCGroup PAC ID 7618294984, 5 clinicians

Practice addresses (Care Compare)

4801 Linton Blvd
Suite 10a
Delray Beach, FL 33445-6501
Phone (305) 708-4488

755 Meadows Rd
Boca Raton, FL 33486-2301
Phone (561) 391-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9343940FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Aug 15, 2018 Accepting new patients
Eugenio Rodriguez MD PA CurrentSince Mar 30, 2019 Accepting new patients
South Florida Premier Surgery LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

755 Meadows Rd
Boca Raton, FL 33486
Phone (561) 391-5200

4801 Linton Blvd
Ste 10A
Delray Beach, FL 33445
Phone (305) 708-4488

5130 Linton Blvd
Ste G1
Delray Beach, FL 33484
Phone (561) 330-4695

2501 N A St
Lake Worth Beach, FL 33460
Phone (561) 421-4041

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1851898514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 SANDBIRCH WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637228",
            "telephone_number": "954-630-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 SANDBIRCH WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637228",
            "telephone_number": "954-630-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMONOR",
        "first_name": "JEANMARIE",
        "middle_name": "SERGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9343940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.