Active NPI
Beautiful Expressions LLC
Doing business as Nourished Life Wellness
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1225860034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.