Iconic Health LLC
NPI 1700460383ActiveOrganization· Nurse Practitioner, Adult Health· Deerfield Beach, FL
Nurse Practitioner, Adult Health in Deerfield Beach, Florida, registered in NPPES in May 2021. The authorized official on file is Sarah Ravelli, ARNP, Ceo, Lead Practitioner.
Overview
| NPI | 1700460383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2021 |
| Last updated in NPPES | May 19, 2021 |
| Certified by provider | May 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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