Organization Active NPI

Dr Pales Healthcare Provider

  • Family Nurse Practitioner
  • Champions Gate, FL
National Provider Identifier
1891438321
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DR PALES HEALTHCARE PROVIDER
Practice address
8390 Champions Gate Blvd
Suite 108
Champions Gate, FL 33896
Phone
(863) 521-4497
NPI assigned
Apr 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Paola Ramirez, MA
Title
Manager
Phone
(863) 521-4497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8390 Champions Gate Blvd
Suite 108
Champions Gate, FL 33896

Mailing address

8390 Champions Gate Blvd
Suite 108
Champions Gate, FL 33896
Phone (407) 683-9205

Other identifiers 1

IdentifierTypeStateIssuer
116373400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drchristypales@drpaleshealthcare.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1891438321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "SUITE 108",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "407-683-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "SUITE 108",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "863-521-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PALES HEALTHCARE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2024-11-07",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-521-4497",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116373400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drchristypales@drpaleshealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Ambersweet Way # 331",
            "city": "Davenport",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338978418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Champions Gate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.