Individual provider Active NPI

Anne Carballo Mon

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1225510985
Registry record updated Feb 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2218462 Issued in FL
Practice address
22065 State Road 7
Boca Raton, FL 33428-4219
Phone
(561) 488-4847
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2019

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 APRN2218462 FL Primary

Addresses

Primary practice location

22065 State Road 7
Boca Raton, FL 33428-4219

Mailing address

1660 SW 7TH Ter
Boca Raton, FL 33486-7017

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
I20190218001355 FL Practitioner - Nurse Practitioner 3779821764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Wishnov DO PA CurrentSince Feb 4, 2019 Accepting new patients

Locations

22065 State Road 7
Boca Raton, FL 33428
Phone (561) 372-0999

Interoperability endpoints

  • Direct secure messaging: anne.mon@092.emedpractice.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1225510985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SW 7TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334867017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22065 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284219",
            "telephone_number": "561-488-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MON",
        "first_name": "ANNE",
        "middle_name": "CARBALLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2218462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.