Individual provider Active NPI

Alisha Martina Anderson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1033091962
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11041071 Issued in FL
Practice address
8360 W Oakland Park Blvd Ste 201J
Sunrise, FL 33351-7338
Phone
(754) 300-7775
Fax
(910) 851-8270
NPI assigned
Jul 22, 2025
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0104866-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11041071 FL Primary

Addresses

Primary practice location

8360 W Oakland Park Blvd Ste 201J
Sunrise, FL 33351-7338

Mailing address

8360 W Oakland Park Blvd Ste 201J
Sunrise, FL 33351-7338
Phone (754) 300-7775

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
I20260204004541 FL Practitioner - Nurse Practitioner 1153800644

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2010 NW 150TH Ave
Suite 120
Pembroke Pines, FL 33028-2888

8029 W McNab Rd
Suite 1102
Tamarac, FL 33321-3219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0104866-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
11041071FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centauress Psych & Wellness LLC Psychiatric/Mental Health CurrentSince Jul 28, 2025 Accepting new patients
Psych 4 U LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

2010 NW 150th Ave
Ste 120
Pembroke Pnes, FL 33028
Phone 9544319838114

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1033091962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 W OAKLAND PARK BLVD STE 201J",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517338",
            "telephone_number": "754-300-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 W OAKLAND PARK BLVD STE 201J",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517338",
            "telephone_number": "754-300-7775",
            "fax_number": "910-851-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALISHA",
        "middle_name": "MARTINA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0104866-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11041071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.