Individual provider Active NPI

Akilah A Quallo, APRN-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1093116592
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9280857 Issued in FL
Practice address
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Sep 16, 2014
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 ARNP9280857 FL Primary

Addresses

Primary practice location

501 Great Circle Rd FL 3
Nashville, TN 37228-1317

Mailing address

501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone (615) 436-9060

Other identifiers 1

IdentifierTypeStateIssuer
016387800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akilah.rivera@237407481626628.direct.elationemr.com Direct CareBridge Medical Group

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
I20150112000926 FL Practitioner - Nurse Practitioner 8527382084 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9280857FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Feb 1, 2016 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Mar 29, 2023 Accepting new patients
Grow Healthcare Group PA CurrentSince May 24, 2024 Accepting new patients
South Broward Hospital District CurrentSince Sep 13, 2017 Accepting new patients
Real Medix LLC CurrentSince Aug 26, 2024 Accepting new patients
South Broward Hospital District CurrentSince Feb 1, 2016 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
South Broward Hospital District Current Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Mar 29, 2023 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

20803 Biscayne Blvd
Ste 204
Aventura, FL 33180

1601 Clint Moore Rd
Ste 150
Boca Raton, FL 33487
Phone (305) 504-6797

1777 S Andrews Ave
Ste 302
Fort Lauderdale, FL 33316

6611 Orion Dr
Ste 103
Fort Myers, FL 33912

1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966

3700 Johnson St
Hollywood, FL 33021
Phone (954) 265-2550

4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551

13550 SW 120th St
Ste 510
Miami, FL 33186

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

15600 NW 67th Ave
Ste 312
Miami Lakes, FL 33014
Phone (786) 238-7660

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

11000 Prosperity Farms Rd
Ste 102
Palm Beach Gardens, FL 33410
Phone (347) 820-2531

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

341 Bullard Pkwy
Ste Ab
Temple Terrace, FL 33617

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Interoperability endpoints

  • Direct secure messaging: akilah.rivera@237407481626628.direct.elationemr.com

Organizations & group practices 11

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1093116592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLO",
        "first_name": "AKILAH",
        "middle_name": "A",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9280857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016387800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akilah.rivera@237407481626628.direct.elationemr.com",
            "affiliation": "Y",
            "affiliationName": "CareBridge Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 Great Circle Rd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372281317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.