Active NPI
Simona Delucia, APRN
- Family Nurse Practitioner
- Davie, FL
National Provider Identifier
1144794603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11000773
- Practice address
- 1970 S University Dr
Davie, FL 33324-5846 - Phone
- (954) 866-5794
- NPI assigned
- Jan 17, 2019
- 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 | 11000773 | FL | Primary |
Addresses
Primary practice location
1970 S University Dr
Davie, FL 33324-5846
Mailing address
9550 Park LN
Plantation, FL 33324-3506
Phone (203) 209-8821
Other practice location 1
9550 Park Ln
Plantation, FL 33324-3506
Phone (203) 209-8821
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000773 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1144794603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9550 PARK LN",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243506",
"telephone_number": "203-209-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333245846",
"telephone_number": "954-866-5794"
}
],
"practiceLocations": [
{
"address_1": "9550 Park Ln",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333243506",
"country_code": "US",
"telephone_number": "203-209-8821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELUCIA",
"first_name": "SIMONA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.