Active NPI
Maylee Perez Soto
- Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11013524
- Practice address
- 8776 Thousand Pines Cir
West Palm Beach, FL 33411-1900 - Phone
- (561) 662-4437
- NPI assigned
- Jun 9, 2021
- Last updated
- Jun 9, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11013524 | FL | Primary |
Addresses
Primary practice location
8776 Thousand Pines Cir
West Palm Beach, FL 33411-1900
Mailing address
8776 Thousand Pines Cir
West Palm Beach, FL 33411-1900
Phone (561) 662-4437
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2311 10TH Ave N
Suite 8
Lake Worth, FL 33461-6605
Phone (561) 662-4437
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013524 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Home Health Care, LLC | Current | Accepting new patients | |
| Israel Machin MD PA | Current | Accepting new patients | |
| Body Care Medspa LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2311 10th Ave N
Ste 8
Lake Worth, FL 33461
Phone (561) 662-4437
1511 Forest Hill Blvd
Ste C
West Palm Beach, FL 33406
Phone (561) 433-3556
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEIDBD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Simply Home Health Care, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) Corporate Director (50%) W-2 Managing Employee (50%) |
Oct 20, 2020 Oct 20, 2020 Oct 20, 2020 Oct 20, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Lake Worth, FL
- NPI 1043809486
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
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.
-
- Nurse Practitioner
- Lake Worth, FL
- NPI 1437947090
-
- General Practice Physician
- Lake Clarke Shores, FL
- NPI 1104989342
-
- Home Health Agency
- Lake Worth, FL
- NPI 1043809486
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Boca Raton, FL
- NPI 1578954335
-
dba Concepts in Eldercare
- Home Health Agency
- Lake Clarke Shores, FL
- NPI 1760737084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1861069627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8776 THOUSAND PINES CIR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334111900",
"telephone_number": "561-662-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8776 THOUSAND PINES CIR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334111900",
"telephone_number": "561-662-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ SOTO",
"first_name": "MAYLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11013524",
"primary": true
}
],
"identifiers": [],
"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 Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.