Active NPI
Ann Mahan, A.P.N.
- Women's Health Nurse Practitioner
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NNO8170200
- Practice address
- 777 Glades Rd RM 240
Boca Raton, FL 33431-6424 - Phone
- (561) 297-3512
- NPI assigned
- Jul 3, 2007
- Last updated
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NNO8170200 | NJ | Primary |
Addresses
Primary practice location
777 Glades Rd RM 240
Boca Raton, FL 33431-6424
Mailing address
15 Valley Rd
Nutley, NJ 07110-2224
Phone (973) 667-7774
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NNO8170200 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Obstetrics and Gynecology Associates LLC | Current | Accepting new patients | |
| Prestige Recovery and Suboxone Clinic LLC | Current | Accepting new patients | |
| Prestige Clinicians LLC | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Current | Accepting new patients | |
| Florida Atlantic University | Past | Accepting new patients | |
| Florida Atlantic University | Past | Accepting new patients | |
| Medm LLC | Past | Accepting new patients |
Locations
3800 W Broward Blvd
Ste 101
Ft Lauderdale, FL 33312
Phone (954) 440-0983
406 E Vine St
Rm C
Kissimmee, FL 34744
Phone 9542710291201
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
4513 NW 31st Ave
Oakland Park, FL 33309
Phone (954) 496-2599
7401 N University Dr
Ste 101
Tamarac, FL 33321
Phone (954) 722-2002
Interoperability endpoints
- https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Oakland Park, FL
- NPI 1497213755
-
- Obstetrics & Gynecology Physician
- Fort Lauderdale, FL
- NPI 1174414460
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
dba Prestige Concierge Psychiatry
- Psychiatry Physician
- Fort Lauderdale, FL
- NPI 1215623624
-
dba Memory and Wellness Center
- Gerontology Nurse Practitioner
- Boca Raton, FL
- NPI 1164591954
-
dba Student Health Center Clinic
- Student Health Clinic/Center
- Boca Raton, FL
- NPI 1255541850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1033317979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 VALLEY RD",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102224",
"telephone_number": "973-667-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 GLADES RD RM 240",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316424",
"telephone_number": "561-297-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAN",
"first_name": "ANN",
"credential": "A.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NNO8170200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.