Active NPI
Rachelle Clermont, RN, MSN
- Home Health Registered Nurse
- West Palm Beach, FL
National Provider Identifier
1851990956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN9339813
- Practice address
- 8616 White Cay
West Palm Beach, FL 33411-5545 - Phone
- (561) 246-0809
- Fax
- (561) 530-2023
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN9339813 | FL | Primary |
Addresses
Primary practice location
8616 White Cay
West Palm Beach, FL 33411-5545
Mailing address
8616 White Cay
West Palm Beach, FL 33411-5545
Phone (561) 246-0809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107234400 | Medicaid | FL |
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9339813 | FL | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welcome Group Home LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- West Palm Beach, FL
- NPI 1942809066
Home Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1851990956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 WHITE CAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334115545",
"telephone_number": "561-246-0809",
"fax_number": "561-530-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8616 WHITE CAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334115545",
"telephone_number": "561-246-0809",
"fax_number": "561-530-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLERMONT",
"first_name": "RACHELLE",
"name_prefix": "Mrs.",
"credential": "RN, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN9339813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107234400",
"state": "FL"
}
],
"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 Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.