Individual provider Active NPI

Lordine Exantus, ARNP

  • Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1003686007
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11029926 Issued in FL
Practice address
106 Wedgewood LKS S
Greenacres, FL 33463-3081
Phone
(561) 667-9990
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11029926 FL Primary

Addresses

Primary practice location

106 Wedgewood LKS S
Greenacres, FL 33463-3081

Mailing address

106 Wedgewood LKS S
Greenacres, FL 33463-3081
Phone (561) 667-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260131000200 FL Practitioner - Nurse Practitioner 5890273890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5850 Coral Ridge Dr
Suite 106
Coral Springs, FL 33076-3379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029926FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P. Zahalsky, MD PA CurrentSince Jan 1, 2026 Accepting new patients
Michael P. Zahalsky, MD PA CurrentSince Jan 1, 2026 Accepting new patients

Locations

5850 Coral Ridge Dr
Ste 106
Coral Springs, FL 33076
Phone (954) 714-8200

2951 NW 49th Ave
Ste 308
Lauderdale Lakes, FL 33313
Phone (954) 714-8200

990 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 714-8200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1003686007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WEDGEWOOD LKS S",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633081",
            "telephone_number": "561-667-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEDGEWOOD LKS S",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633081",
            "telephone_number": "561-667-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXANTUS",
        "first_name": "LORDINE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.