Individual provider Active NPI

Anila Qureshi, APRN

  • Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1083358154
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11019329 Issued in FL
Practice address
4808 Poseidon PL
Lake Worth, FL 33463-7264
Phone
(561) 670-5238
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11019329 FL Primary

Addresses

Primary practice location

4808 Poseidon PL
Lake Worth, FL 33463-7264

Mailing address

4808 Poseidon PL
Lake Worth, FL 33463-7264
Phone (561) 670-5238

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
I20230628003467 FL Practitioner - Nurse Practitioner 3870952583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenet Florida Physician Services LLCGroup PAC ID 0345349478, 239 clinicians

Practice addresses (Care Compare)

9970 N Central Park Blvd
Suite 400 a
Boca Raton, FL 33421-1760
Phone (561) 462-3990

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince May 22, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince May 22, 2023 Accepting new patients

Locations

9970 Central Park Blvd N
Ste 400B
Boca Raton, FL 33428
Phone (561) 487-7931

9970 Central Park Blvd N
Ste 404
Boca Raton, FL 33428
Phone (561) 451-0500

9970 Central Park Blvd N
Ste 400A
Boca Raton, FL 33428
Phone (561) 462-3990

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Interoperability endpoints

  • Direct secure messaging: anila.qureshi.2@13023.direct.athenahealth.com

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 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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1083358154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 POSEIDON PL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637264",
            "telephone_number": "561-670-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 POSEIDON PL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637264",
            "telephone_number": "561-670-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "ANILA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11019329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.