Shardae Exposito Knips, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11032965 Issued in FL

Practice address

12555 Orange Dr
Davie, FL 33330-4304

Phone

(305) 336-1809

NPI assigned

May 24, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Shardae Exposito Pena Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Leon Medical Centers LLC

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1376579839
  Medicare reassignment NPD
• Expo Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Davie, FL
  • NPI 1184352965
  NPD Authorized official
• Never Alone Care at Home

  • In Home Supportive Care Agency
  • Davie, FL
  • NPI 1508672767
  NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1194564443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 BIRCH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301332",
            "telephone_number": "305-336-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "305-336-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPS",
        "first_name": "SHARDAE",
        "middle_name": "EXPOSITO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11032965",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARDAE",
            "last_name": "PENA",
            "middle_name": "EXPOSITO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Athena C Klein, OT
• Bridgett Klemz, DPT, CSCS, COMT
• Grigory Kliger, MD
• Kelly Kline
• Ivan Kliuikov, STUDENT
• Dara Kobrin
• Danielle Kochen
• Kocher & Kocher Dentistry PA
• Michael Kocher, DMD
• Jodi Kodish-Stav, D.D.S.

• Family Nurse Practitioner in Davie, FL
• Providers in Davie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.