Individual provider Active NPI

Beverly Mireles-James, FNP-BC

  • Family Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1114702792
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11027949 Issued in FL
Practice address
5355 Lyons Rd
Coconut Creek, FL 33073-2825
Phone
(954) 570-9595
Fax
(954) 756-6229
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 11027949 FL Primary

Addresses

Primary practice location

5355 Lyons Rd
Coconut Creek, FL 33073-2825

Mailing address

5355 Lyons Rd
Coconut Creek, FL 33073-2825
Phone (954) 570-9595

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
I20241024002091 FL Practitioner - Nurse Practitioner 4183157555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Local Specialty Care IncGroup PAC ID 3971591231, 29 clinicians

Practice addresses (Care Compare)

5355 Lyons Rd
Coconut Creek, FL 33073-2825
Phone (954) 570-9595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027949FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Local Specialty Care, Inc CurrentSince Sep 9, 2024 Accepting new patients
Complete Local Specialty Care, Inc PastSince Sep 9, 2024 Accepting new patients

Locations

950 Glades Rd
Ste 4A
Boca Raton, FL 33431
Phone (561) 391-8086

4855 W Hillsboro Blvd
Ste B2
Coconut Creek, FL 33073
Phone (954) 418-1683

5355 Lyons Rd
Coconut Creek, FL 33073
Phone (954) 570-9595

1770 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009
Phone (954) 458-2572

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEGBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1114702792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-570-9595",
            "fax_number": "954-756-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-570-9595",
            "fax_number": "954-756-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES-JAMES",
        "first_name": "BEVERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.