Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Charles Lee Chaboude , APRN

Nurse Practitioner โ€ข Jupiter, FL

Active NPI 1437679628 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1025 Military Trl Ste 109
Jupiter, FL 334587040

Call 5616596336 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1025 Military Trl Ste 109

Jupiter, FL 334587040

Telephone 5616596336
Fax 5616599353
Organization at the Same NPPES Address or Phone
Pediatric Partners Of Palm Beach County Facility NPI 1730814195

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Palm Beach Diabetes And Endocrine Specialists Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

856 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $312,143 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $250,830 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

11,569 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,194,642 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $3,235.59 across 148 records.

By nature of payment

  • Food and Beverage: $3,235.59 across 148 records.

Reporting-company totals (3 largest of 32)

  • Eli Lilly and Company: $394.62 across 22 records.
  • Dexcom, Inc.: $322.06 across 10 records.
  • Novo Nordisk Inc: $321.83 across 21 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Charles Chaboude has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Charles Chaboude as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jupiter and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Jupiter, FL (2024, 14 clinicians with data). Median for this group: 248. Middle half: 173 to 1,080.

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Jupiter, FL (2024, 14 clinicians with data). Median for this group: $24,125. Middle half: $11,217 to $85,518.

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $22,890. Middle half: $8,465 to $56,388.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Jupiter, FL (2024, 14 clinicians with data). Median for this group: $18,164. Middle half: $7,802 to $67,572.

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $17,374. Middle half: $6,293 to $42,181.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Jupiter, FL (2024, 17 clinicians with data). Median for this group: 146. Middle half: 85 to 283.

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: 306. Middle half: 76 to 1,100.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Jupiter, FL (2024, 17 clinicians with data). Median for this group: $9,266. Middle half: $1,885 to $28,754.

A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: $18,227. Middle half: $1,370 to $130,581.

37 active clinicians are listed under Nurse Practitioner with a practice address in Jupiter, FL (8,853 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jupiter

10.8% of these 37 clinicians have the CMS telehealth indicator.

45.9% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 148 records totaling $3,235.59.

Manufacturer Payment Nature Product Type Amount ($)
Dexcom, Inc.
Food and Beverage
In-kind items and services
DEXCOM G7 GSS (161) General $146.21
Neurocrine BioSciences, Inc.
Food and Beverage
In-kind items and services
CRENESSITY General $117.53
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $34.60
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $34.45
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $34.02
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $33.08
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $32.34
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $31.40
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $31.19
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $31.07
Rhythm Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
IMCIVREE General $30.89
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $30.76
Eli Lilly and Company
Food and Beverage
In-kind items and services
JARDIANCE General $30.19
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
TZIELD General $29.91
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
STRENSIQ General $29.85
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $29.59
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $29.42
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $29.26
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $28.65
Verity Pharmaceuticals Inc.
Food and Beverage
Cash or cash equivalent
Tlando General $28.60
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $28.23
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
TZIELD General $28.11
Ascendis Pharma Endocrinology Inc
Food and Beverage
In-kind items and services
Yorvipath General $27.85
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $27.61
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $27.22

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
1,469 814 $204.60 $109.42
36415 Insertion of needle into vein for collection of blood sample
1,118 634 $10.00 $8.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
1,083 683 $31.80 $14.04
80053 Blood test, comprehensive group of blood chemicals
980 569 $60.00 $10.31
84443 Blood test, thyroid stimulating hormone (tsh)
810 498 $48.12 $16.42
84439 Thyroxine (thyroid chemical), free
786 476 $30.00 $8.82
80061 Blood test, lipids (cholesterol and triglycerides)
769 433 $38.38 $13.09
83036 Hemoglobin a1c level
732 426 $27.80 $9.49
82044 Urine microalbumin (protein) analysis
579 329 $17.00 $6.09
82570 Creatinine level to test for kidney function or muscle injury
579 330 $15.00 $5.07
82948 Blood glucose (sugar) measurement using reagent strip
452 278 $6.00 $4.90
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
383 196 $86.26 $29.39
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
265 31 $100.00 $53.70
84480 Thyroid hormone, t3 measurement, total
226 159 $40.62 $13.78
82306 Vitamin d-3 level
164 144 $80.00 $28.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
163 121 $50.00 $7.61
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
123 26 $120.00 $41.68
76536 Ultrasound scan of head and neck soft tissue
108 102 $223.85 $92.72
83970 Parathormone (parathyroid hormone) level
106 80 $118.24 $40.45
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
83 36 $100.00 $54.13
82607 Cyanocobalamin (vitamin b-12) level
69 55 $40.00 $14.78
84403 Testosterone (hormone) level, total
55 36 $73.96 $25.29
82985 Glycated protein level
54 50 $43.18 $16.42
82533 Cortisol (hormone) measurement, total
51 36 $46.70 $15.97
84153 Psa (prostate specific antigen) measurement, total
42 30 $52.68 $18.02

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 578 50,461 $6,702.31 207
Ozempic Semaglutide 356 17,954 $563,668.84 89
Mounjaro Tirzepatide 310 11,820 $423,389.53 74
Rosuvastatin Calcium Rosuvastatin Calcium 229 19,557 $3,107.06 87
Metformin Hcl Metformin Hcl 224 19,541 $1,019.56 85
Metformin Hcl Er Metformin Hcl 208 17,240 $1,894.28 82
Synthroid Levothyroxine Sodium 201 15,609 $17,969.65 68
Jardiance Empagliflozin 195 14,916 $282,119.72 75
Atorvastatin Calcium Atorvastatin Calcium 189 15,716 $1,749.89 74
Nano 2nd Gen Pen Needle Pen Needle, Diabetic 142 11,983 $17,074.12 71
Trulicity Dulaglutide 110 4,652 $149,955.85 26
Glipizide Glipizide 101 8,583 $1,215.95 37
Glimepiride Glimepiride 87 6,912 $815.90 29
Novolog Flexpen Insulin Aspart 85 5,764 $18,099.32 43
Toujeo Max Solostar Insulin Glargine,hum.Rec.Anlog 83 6,206 $72,570.50 29
Liothyronine Sodium Liothyronine Sodium 79 6,870 $3,075.72 25
Tresiba Flextouch U-100 Insulin Degludec 78 6,323 $52,888.26 35
Omnipod 5 Dexg7g6 Pods (Gen 5) Insulin Pump Cart,auto,bt,g6/7 74 2,580 $58,875.48 11
Ezetimibe Ezetimibe 69 6,120 $2,645.14 30
Tresiba Flextouch U-200 Insulin Degludec 67 5,518 $105,643.78 25
Lisinopril Lisinopril 66 5,790 $517.91 24
Losartan Potassium Losartan Potassium 65 5,416 $566.51 24
Amlodipine Besylate Amlodipine Besylate 63 5,423 $327.15 21
Toujeo Solostar Insulin Glargine,hum.Rec.Anlog 63 4,893 $37,735.38 32
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 61 5,164 $10,990.66 28

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES FL 9488093

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES NY 685906

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES NY 308731
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20190208002479

Enrollment State Jurisdiction

FL

PECOS Control ID

1456699818

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Palm Beach Diabetes And Endocrine Specialists Pa

1515 N Flagler Dr, West Palm Beach, FL 334013430

Phone: 5616596336

Palm Beach Diabetes And Endocrine Specialists Pa

1025 Military Trl, Jupiter, FL 334587040

Phone: 5616596336

Palm Beach Diabetes And Endocrine Specialists Pa

1041 S State Rd, Wellington, FL 334146325

Phone: 5616596336

Palm Beach Diabetes And Endocrine Specialists Pa

1210 S Old Dixie Hwy, Jupiter, FL 334587205

Phone: 5616596336

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Dr. Morolake Amole , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1619362290

Doctor of Medicine (M.D.)

Jessica Cook , MS, RD

Dietitian, Registered

NPI 1326322173

Master of Science, Registered Dietitian

Dr. Leslie Cotto , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1609167659

Doctor of Medicine (M.D.)

Dr. Alexis Da Silva , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1568857530

Doctor of Medicine (M.D.)

Dr. Michal-Ann Derezil , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1689054348

Doctor of Medicine (M.D.)

Dr. Barry Horowitz , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1437163003

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location May 07, 2026

Registered at 1025 MILITARY TRL STE 109, JUPITER, FL 334587040 (Tel: 5616596336)

๐Ÿ“
Updated Business Mailing Address May 07, 2026

Registered at 1025 MILITARY TRL STE 109, JUPITER, FL 334587040 (Tel: 5616596336)

๐Ÿ“
Updated Practice Location February 21, 2020

Registered at 2007 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 334096501 (Tel: 5616885808)

๐Ÿ“
Updated Business Mailing Address February 21, 2020

Registered at 2007 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 334096501 (Tel: 5616885808)

๐Ÿ‘ค
Provider Name / Credentials Updated February 21, 2020

Recorded as CHARLES CHABOUDE, APRN

๐Ÿ“
Updated Practice Location August 06, 2019

Registered at 2638 LA LIQUE CIRCLE, PALM BEACH GARDENS, FL 33410 (Tel: 7723420966)

๐Ÿ“
Updated Business Mailing Address August 06, 2019

Registered at 2638 LA LIQUE CIRCLE, PALM BEACH GARDENS, FL 33410 (Tel: 7723420966)

๐Ÿ“
Updated Practice Location June 26, 2018

Registered at 649 E 14TH ST APT 3D, NEW YORK, NY 10009 (Tel: 7723420966)

๐Ÿ‘ค
Provider Name / Credentials Updated June 26, 2018

Recorded as CHARLES CHABOUDE, NP

โœ…
NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 20, 2017

Registered at 649 E 14TH ST APT 3D, NEW YORK, NY 100093109 (Tel: 7723420966)

๐Ÿ“
Business Mailing Address (Initial Record) June 20, 2017

Registered at 649 E 14TH ST APT 3D, NEW YORK, NY 100093109

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 20, 2017

Recorded as CHARLES CHABOUDE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Registered Nurse (license number reported to NPPES: NY 685906)

๐ŸŸข
Initial NPI Registration & Enumeration June 20, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437679628
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2017
Last Update: May 07, 2026
Sole Proprietor: No

Other Nurse Practitioners in Jupiter

All Nurse Practitioners in Jupiter

Mailing Address

1025 Military Trl Ste 109

Jupiter, FL 334587040

Phone: 5616596336

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.