Sydia Spence, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN11002384 Issued in FL

Practice address

8001 NW 66TH Ter
Tamarac, FL 33321-7015

Phone

(954) 651-0756

NPI assigned

Nov 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holistic Ayuqi LLC

  • Primary Care Clinic/Center
  • Sunrise, FL
  • NPI 1699690826
  NPD (past) Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1245831726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 NW 66TH TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333217015",
            "telephone_number": "954-651-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 NW 66TH TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333217015",
            "telephone_number": "954-651-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "SYDIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11002384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connecturl",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8001 NW 66th Ter",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333217015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South Florida Sports Medicine & Primary Care, P.a.
• South Florida Surgical Specialist, LLC
• South Florida Surgical Specialists, LLC
• Southern Imaging Associates, Inc.
• Speech Reading Connection
• Spencer Pediatric Therapy Services
• Springs Rehab Corp
• Nathalie Olivier St Gelus
• St Theresas Nursing Registry, LLC
• Andrea Stanbury-Moriah, NURSE PRACTITIONER

• Primary Care Nurse Practitioner in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.