Active NPI
Shouneqa James
- Family Nurse Practitioner
- Hallandale Beach, FL
National Provider Identifier
1255047429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11002305
- Practice address
- 1001 N Federal Hwy Ste 200
Hallandale Beach, FL 33009-2416 - Phone
- (954) 815-4877
- NPI assigned
- Jan 30, 2023
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11002305 | FL | Primary |
Addresses
Primary practice location
1001 N Federal Hwy Ste 200
Hallandale Beach, FL 33009-2416
Mailing address
255 NW 12TH Ave
Dania, FL 33004-2624
Phone (954) 815-4877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002305 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| En Love,LLC | Family | Current | Accepting new patients |
Locations
1001 N Federal Hwy
Ste 200
Hallandale Beach, FL 33009
Phone (954) 454-5221
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1255047429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 NW 12TH AVE",
"city": "DANIA",
"state": "FL",
"postal_code": "330042624",
"telephone_number": "954-815-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N FEDERAL HWY STE 200",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092416",
"telephone_number": "954-815-4877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "SHOUNEQA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.