Individual provider Active NPI

Aidee Fabre, ARNP

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1174072151
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9308823 Issued in FL
Practice address
6412 Flagler St
Hollywood, FL 33023-2126
Phone
(305) 206-6997
NPI assigned
Oct 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 ARNP9308823 FL Primary

Addresses

Primary practice location

6412 Flagler St
Hollywood, FL 33023-2126

Mailing address

6412 Flagler St
Hollywood, FL 33023-2126
Phone (305) 206-6997

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
I20200729002128 FL Practitioner - Nurse Practitioner 1254756927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9308823FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar Mendez MD PA CurrentSince Mar 19, 2020 Accepting new patients

Locations

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

5950 W Oakland Park Blvd
Ste 300
Lauderhill, FL 33313
Phone (954) 717-4066

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.

NPI Registry JSON

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1174072151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 FLAGLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232126",
            "telephone_number": "305-206-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 FLAGLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232126",
            "telephone_number": "305-206-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRE",
        "first_name": "AIDEE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9308823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.