Anna Anish

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11031595 Issued in FL

Practice address

4400 NW 100TH Ave
Coral Springs, FL 33065-1550

Phone

(754) 235-5711

NPI assigned

Feb 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Annamma John Former name

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1023874203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NW 100TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651550",
            "telephone_number": "754-235-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NW 100TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651550",
            "telephone_number": "754-235-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANISH",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9456849",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11031595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNAMMA",
            "last_name": "JOHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne Angilot, PHARMD
• Sharifah Maureen Anglade, APRN
• Tatyana V Anglade, LCSW
• Deborah S. Anicama, M.ED., LMHC
• Cati Aurora Anidjar, PSYD
• Sabrina Anselmi
• Chrystine Renee Antle, PHARMD
• Bruneau Antoine, ARNP
• Edwidge Antoine, LMHC
• Tamara L Antoine, APRN

• Nurse Practitioner in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.