Individual provider Active NPI

Myriam Fleurmond, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1891051769
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9219661 Issued in FL
Practice address
927 45TH St
Suite 103
West Palm Beach, FL 33407-2450
Phone
(561) 881-9650
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP9219661 FL
Family Nurse Practitioner 363LF0000X 9219661 FL Primary

Addresses

Primary practice location

927 45TH St
Suite 103
West Palm Beach, FL 33407-2450

Mailing address

770 Northpoint Pkwy Ste 102
West Palm Beach, FL 33407-1901
Phone (561) 275-7604

Other identifiers 1

IdentifierTypeStateIssuer
004942000MedicaidFL

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
I20120522000984 FL Practitioner - Nurse Practitioner 3779746136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

770 Northpoint Pkwy
Suite 100
West Palm Beach, FL 33407-1901
Phone (561) 655-3331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9219661FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Jul 8, 2022 Accepting new patients
Florida Department of Health CurrentSince Jul 8, 2022 Accepting new patients
Womencare PA Past Accepting new patients

Locations

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

800 Clematis St
Ste 5531
West Palm Beach, FL 33401
Phone (561) 671-4036

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: myriam.fleurmond.1@13043.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1891051769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NORTHPOINT PKWY STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071901",
            "telephone_number": "561-275-7604",
            "fax_number": "561-802-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 45TH ST",
            "address_2": "SUITE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072450",
            "telephone_number": "561-881-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURMOND",
        "first_name": "MYRIAM",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9219661",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9219661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004942000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.