Individual provider Active NPI

Gandhy Van Meeteren, ARNP

  • Family Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1053636274
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9249165 Issued in FL
Practice address
140 JFK Dr
Atlantis, FL 33462-6608
Phone
(561) 313-1023
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9249165 FL Primary

Addresses

Primary practice location

140 JFK Dr
Atlantis, FL 33462-6608

Mailing address

7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 649-7000

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
I20240619001024 FL Practitioner - Nurse Practitioner 2163965104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists of the Palm Beaches IncGroup PAC ID 0244143758, 118 clinicians

Practice addresses (Care Compare)

140 JFK Dr
Atlantis, FL 33462-6608
Phone (561) 968-6767

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9249165FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc CurrentSince May 1, 2024 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince May 1, 2024 Accepting new patients
Medical Specialists of the Palm Beaches Inc Past Accepting new patients
Medical Specialists of the Palm Beaches Inc Past Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000

Interoperability endpoints

  • Direct secure messaging: gandhy.van.meeteren.1@11933.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1053636274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-649-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JFK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626608",
            "telephone_number": "561-313-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MEETEREN",
        "first_name": "GANDHY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9249165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.