Individual provider Active NPI

Omorette Kirlew

  • Adult Health Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1982525820
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11045750 Issued in FL
Practice address
1206 SW Marmore Ave
Port St Lucie, FL 34953-5016
Phone
(561) 774-1487
Fax
(561) 774-1487
NPI assigned
Jul 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11045750 FL Primary

Addresses

Primary practice location

1206 SW Marmore Ave
Port St Lucie, FL 34953-5016

Mailing address

1206 SW Marmore Ave
Port St Lucie, FL 34953-5016
Phone (561) 774-1487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1982525820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 SW MARMORE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535016",
            "telephone_number": "561-774-1487",
            "fax_number": "561-774-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 SW MARMORE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535016",
            "telephone_number": "561-774-1487",
            "fax_number": "561-774-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRLEW",
        "first_name": "OMORETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11045750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.