MARIE KETLIE ISIDORT
NPI 1801789516
Nurse Practitioner - Family in Wellington, FL

Active since June 02, 2025
4075 S STATE ROAD 7 STE D, WELLINGTON, FL 33449(561) 285-9494 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2025, Jun 2, 2025 (2 updates tracked since 2025).

About Marie Ketlie Isidort NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE KETLIE ISIDORT (NPI 1801789516) is an individual family provider in Wellington, Florida, licensed in Florida (11039224) and active in the NPI registry since June 2025. She maintains a secondary practice location in Belle Glade.

NPPES Registry Identity

NPI1801789516
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE KETLIE ISIDORT
Location Address4075 S STATE ROAD 7 STE DWellington, FL 33449-8152
Mailing Address238 Greenbriar DrLake Park, FL 33403-2726 · (561) 506-2280
Sole ProprietorYes
Enumeration DateJune 2, 2025
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1801789516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11039224
4075 S STATE ROAD 7 STE D, Wellington, FL 33449

Secondary Practice Location 1

Location 1241 SE 2nd StBelle Glade, FL 33430-3507 · Phone (561) 285-9494

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4075 S STATE ROAD 7 STE D
LAKE WORTH, FL 33449
Nurse Practitioner
4075 S STATE ROAD 7 STE D
LAKE WORTH, FL 33449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Ketlie Isidort's NPI number?

The NPI number for Marie Ketlie Isidort is 1801789516. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Marie Ketlie Isidort located?

Marie Ketlie Isidort practices at 4075 S State Road 7 Ste D, Wellington, FL 33449. The listed phone number is (561) 285-9494.

What is Marie Ketlie Isidort's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marie Ketlie Isidort was last updated on November 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.