Active NPI
Michael Nkereuwem
- Social Worker
- West Palm Beach, FL
National Provider Identifier
1871374355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19249
- Practice address
- 609 2ND St.
Suite 100, Apt 711
West Palm Beach, FL 33401 - Phone
- (404) 731-2669
- NPI assigned
- Oct 10, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 19249 | FL | Primary |
Addresses
Primary practice location
609 2ND St.
Suite 100, Apt 711
West Palm Beach, FL 33401
Mailing address
609 2ND St.
Suite 100, Apt 711
West Palm Beach, FL 33401
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19249 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1871374355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 2ND ST.",
"address_2": "SUITE 100, APT 711",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 2ND ST.",
"address_2": "SUITE 100, APT 711",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33401",
"telephone_number": "404-731-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKEREUWEM",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "19249",
"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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.