Organization Active NPI

Essential Telehealth LLC

  • Primary Care Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1952006421
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ESSENTIAL TELEHEALTH LLC
Practice address
1691 Forum PL Ste B
West Palm Beach, FL 33401-2336
Phone
(561) 412-8992
Fax
(401) 238-6057
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Tyesha BowenNPI 1629440516
Title
Provider
Phone
(561) 412-8992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1691 Forum PL Ste B
West Palm Beach, FL 33401-2336

Mailing address

276 Kensington Way
Royal Palm Beach, FL 33414-4316
Phone (561) 412-8992

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": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1952006421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 KENSINGTON WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144316",
            "telephone_number": "561-412-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 FORUM PL STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012336",
            "telephone_number": "561-412-8992",
            "fax_number": "401-238-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TYESHA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "561-412-8992"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "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 Apr 3, 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.

Verify at the official NPI Registry.