Individual provider Active NPI

Anisley Longa, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1134896376
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023555 Issued in FL
Practice address
1565 W 29TH St
Hialeah, FL 33012-5516
Phone
(305) 537-4110
Fax
(305) 675-2860
NPI assigned
Aug 25, 2021
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023555 FL Primary
Community Health Registered Nurse 163WC1500X RN9498576 FL
General Practice Registered Nurse 163WG0000X RN9498576 FL
Home Health Registered Nurse 163WH0200X RN9498576 FL

Addresses

Primary practice location

1565 W 29TH St
Hialeah, FL 33012-5516

Mailing address

9000 NW 15TH St Unit 6
Doral, FL 33172-2990
Phone (786) 894-6358

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
I20230426002329 FL Practitioner - Nurse Practitioner 5193123743 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9498576FLMDCommunity Health Registered Nurse
APRN11023555FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
VMFL Medical Centers LLC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
VMFL Medical Centers LLC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Empire Home Care, Inc. Current Accepting new patients
VMFL Medical Centers LLC Multi-Specialty Current Accepting new patients

Locations

9000 NW 15th St
Unit 6
Doral, FL 33172
Phone (305) 505-7149

1565 W 29th St
Hialeah, FL 33012
Phone (305) 537-4110

6750 W 22nd Ct
Hialeah, FL 33016
Phone (305) 512-4688

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

8390 W Flagler St
Ste 201
Miami, FL 33144
Phone (305) 452-0918

8415 SW 24th St
Miami, FL 33155
Phone (305) 262-6868

8601 SW 124th Ave
Miami, FL 33183
Phone (305) 537-4111

109 Royal Palm Way
Palm Beach, FL 33480

9980 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 334-3151

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Interoperability endpoints

  • Direct secure messaging: anisley.longa.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 5

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1134896376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW 15TH ST UNIT 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722990",
            "telephone_number": "786-894-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125516",
            "telephone_number": "305-537-4110",
            "fax_number": "305-675-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGA",
        "first_name": "ANISLEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023555",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9498576",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9498576",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9498576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.