Islandie Metayer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5226511 Issued in FL

Practice address

5797 Ithaca Cir E
Lake Worth, FL 33463-6752

Phone

(561) 577-6153

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871017269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5797 ITHACA CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636752",
            "telephone_number": "561-577-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5797 ITHACA CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636752",
            "telephone_number": "561-577-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METAYER",
        "first_name": "ISLANDIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5226511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2321000000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.