Individual provider Active NPI

Priscilla Lopez, ARNP

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1194501924
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023362 Issued in FL
Practice address
3700 Washington St Ste 500a
Hollywood, FL 33021-8256
Phone
(954) 989-4700
Fax
(954) 989-4754
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 11023362 FL Primary

Addresses

Primary practice location

3700 Washington St Ste 500a
Hollywood, FL 33021-8256

Mailing address

6100 SW 94TH PL
Miami, FL 33173-1546
Phone (786) 222-2139

Other practice location 1

2213 N University Dr Ste A
Pembroke Pines, FL 33024-3611
Phone (954) 963-2151

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
I20240520001312 FL Practitioner - Nurse Practitioner 0244672434 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023362FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare System CurrentSince Mar 25, 2024 Accepting new patients
Mitchell B Cohen MD PA PastSince Mar 25, 2024 Accepting new patients

Locations

3700 Washington St
Ste 500A
Hollywood, FL 33021
Phone (954) 633-7858

2213 N University Dr
#A
Pembroke Pines, FL 33024
Phone (954) 445-1754

2213 N University Dr
Pembroke Pines, FL 33024
Phone (954) 963-2151

Organizations & group practices 2

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1194501924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 94TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731546",
            "telephone_number": "786-222-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 500A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-989-4700",
            "fax_number": "954-989-4754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 N University Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330243611",
            "country_code": "US",
            "telephone_number": "954-963-2151",
            "fax_number": "954-966-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PRISCILLA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.