Active NPI
Nkemakonam Mbelu
- Family Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1134570807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9320570
- Practice address
- 3500 Washington St
#614
Hollywood, FL 33021-8253 - Phone
- (954) 549-9911
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9320570 | FL | Primary |
Addresses
Primary practice location
3500 Washington St
#614
Hollywood, FL 33021-8253
Mailing address
3500 Washington St
#614
Hollywood, FL 33021-8253
Phone (954) 549-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP 9320570 | Other | FL | STATE OF FLORIDA, DEPARTMENT OF HEALTH, DIVISION OF QUALITY ASSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9320570 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1134570807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WASHINGTON ST",
"address_2": "#614",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218253",
"telephone_number": "954-549-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 WASHINGTON ST",
"address_2": "#614",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218253",
"telephone_number": "954-549-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBELU",
"first_name": "NKEMAKONAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9320570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA, DEPARTMENT OF HEALTH, DIVISION OF QUALITY ASSURANCE",
"identifier": "ARNP 9320570",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.