Organization Active NPI

Beautiful Expressions LLC

Doing business as Nourished Life Wellness

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1225860034
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BEAUTIFUL EXPRESSIONS LLC
Doing business as
Nourished Life Wellness
Practice address
18351 Pines Blvd Ste 2
Pembroke Pines, FL 33029-1413
Phone
(954) 366-9806
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Anilu Macedo, NP
Title
Owner
Phone
(786) 222-9609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

18351 Pines Blvd Ste 2
Pembroke Pines, FL 33029-1413

Mailing address

835 NW 135TH Ter
Pembroke Pines, FL 33028-3170
Phone (786) 222-9609

Other names 1

  • Nourished Life Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

18351 Pines Blvd
Ste 2
Pembroke Pines, FL 33029
Phone (954) 366-9806

18351 Pines Blvd
Pembroke Pines, FL 33029
Phone (786) 381-3030

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1225860034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 NW 135TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283170",
            "telephone_number": "786-222-9609",
            "fax_number": "786-396-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18351 PINES BLVD STE 2",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291413",
            "telephone_number": "954-366-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL EXPRESSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "MACEDO",
        "authorized_official_first_name": "ANILU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-222-9609",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nourished Life Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.