Melissa Shaffer, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9302855 Issued in FL

Practice address

4943 N Harbor Isles Dr
Fort Lauderdale, FL 33312-5225

Phone

(954) 625-5966

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1013389329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7383 N STATE ROAD 7",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330734527",
            "telephone_number": "954-753-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 N HARBOR ISLES DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125225",
            "telephone_number": "954-625-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "MELISSA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9302855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zsuzsanna Verebelyi Seybold, M.D.
• SF Medical Transport, LLC
• Ayiesha Shabazz, B.S, COTA/L
• Staci Shacter, RD MS LDN
• Bet Shaddinger, LMFT, BC-PTSD, CHT
• Naveed Shafi, MD
• Yalda Shafizadeh, MD
• Lalit K Shah, MD
• Nipa Doshi Shah, M.D.
• Puja Chetan Shah, DO. MMS

• Family Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.