Individual provider Active NPI

Edna Margarita Madrigal, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1154895118
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1154895118 Issued in FL
Practice address
333 NW 70TH Ave
Plantation, FL 33317-2385
Phone
(954) 382-5208
NPI assigned
Jan 13, 2019
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 1154895118 FL Primary

Addresses

Primary practice location

333 NW 70TH Ave
Plantation, FL 33317-2385

Mailing address

2730 SW 139TH Ave
Miramar, FL 33027-3941
Phone (754) 201-0371

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
I20221109000089 FL Practitioner - Nurse Practitioner 0749657468 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1154895118FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Michel Knowles DO PA CurrentSince Sep 19, 2022 Accepting new patients

Locations

333 NW 70th Ave
Ste 201
Plantation, FL 33317
Phone (954) 382-5208

Interoperability endpoints

  • Direct secure messaging: ednaaprn@spn-fl.direct.office.nextgen.com

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, 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": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1154895118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SW 139TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273941",
            "telephone_number": "754-201-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172385",
            "telephone_number": "954-382-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "EDNA",
        "middle_name": "MARGARITA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1154895118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.