Marie Mylene Etienne, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11008783 Issued in FL

Practice address

9121 N Military TRL Ste 111
Palm Beach Gardens, FL 33410-5985

Phone

(561) 626-7604

Fax

(877) 266-6973

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marie.etienne.1@29290.direct.athenahealth.com

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.

• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment Care Compare group NPD
• Pophealthcare, LLC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1164943957

  Family

  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  FL

  Medicare reassignment NPD
• Miracle Unity Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1528865201
  NPD Authorized official
• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1922610971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105985",
            "telephone_number": "561-626-7604",
            "fax_number": "877-266-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105985",
            "telephone_number": "561-626-7604",
            "fax_number": "877-266-6973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Reston Cir",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334116110",
            "country_code": "US",
            "telephone_number": "561-929-6581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2054 Vista Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334116742",
            "country_code": "US",
            "telephone_number": "561-246-4101",
            "fax_number": "561-246-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "MARIE",
        "middle_name": "MYLENE",
        "credential": "DNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008783",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11008783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie.etienne.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "9121 N Military Trl Ste 111",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334105985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benedicte Estica, BS
• Jeannot Estimable, PT, DPT
• Charles Hill Etheredge, DMD
• Emily N Etheridge
• Keslene Fabienne Etienne
• Kerlande Eugene, APRN, FNP-BC
• Johanna Eugenio
• Bernadette Evans-Smith, PH.D.
• Bonnie Evans
• Katia Sanchez Evans, MMS, PA-C

• Family Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.