Khandice Popley

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11036377 Issued in FL

Practice address

5167 Ellery Ter
West Palm Beach, FL 33417-8357

Phone

(561) 541-5874

NPI assigned

Nov 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clarity Horizons PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mangonia Park, FL
  • NPI 1841138864

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1972326189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 ELLERY TER",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5167 ELLERY TER",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178357",
            "telephone_number": "561-541-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLEY",
        "first_name": "KHANDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11036377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Pons Carralero
• Laura Pons Naranjo
• Ponsol West Palm LLC (Ponsol Health)
• Jacob Marion Poole, MD
• Stacie M Poon, M.T.
• Theodore Poritz, M.D.
• Eric Poritzky, D.C.
• Portable Medical Diagnostics Inc
• Portable Medical Diagnostics, Inc
• Mariana De la Caridad Portales Calvo, BCBA

• Psychiatric/Mental Health Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.