Nancy Adrien
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hollywood, FL
NPI 1003218751 · NPPES record last updated Nov 23, 2024
Key facts
- NPI
- 1003218751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2023167530 (FL)
- Practice address
- 1 Oakwood Blvd Ste 265
Hollywood, FL 33020-1954 - Phone
- (786) 577-8036
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Liberty Univ College of Osteopathic Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4330 Johns Creek Pkwy
Suite 400
Suwanee, GA 30024-6120
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013022891 | FL | MD | Family Nurse Practitioner |
| 2023167530 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBIIDD/Endpoint/EBIIDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2013022891 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2023167530 | FL | Yes |
Addresses
Primary practice location
1 Oakwood Blvd Ste 265
Hollywood, FL 33020-1954
Mailing address
10007 SW 22ND St
Miramar, FL 33025-5068
Phone (954) 673-0853
Other providers in Hollywood, FL
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- Jason L Adler
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All providers in Hollywood, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.