Active NPI
Priscilla Lopez, ARNP
- Family Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11023362
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023362 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Healthcare System | Current | Accepting new patients | |
| Mitchell B Cohen MD PA | Past | 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.
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1225288392
-
- Specialist
- Pembroke Pines, FL
- NPI 1073657623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.