Individual provider Active NPI

Anya Randle-Colclough, APRN

  • Adult Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1255759759
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9275132 Issued in FL
Practice address
8200 W Sunrise Blvd BLDG C
Plantation, FL 33322-5426
Phone
(954) 370-8585
Fax
(954) 370-1585
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9275132 FL Primary

Addresses

Primary practice location

8200 W Sunrise Blvd BLDG C
Plantation, FL 33322-5426

Mailing address

8200 W Sunrise Blvd BLDG C
Plantation, FL 33322-5426
Phone (954) 370-8585

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
I20190409002485 FL Practitioner - Nurse Practitioner 2163763707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35 Ave
Hollywood, FL 33021-5424

12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Phone (954) 265-4325

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9275132FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Current Accepting new patients
South Florida Oncology and Hematology Consultants LLC CurrentSince Feb 12, 2019 Accepting new patients
South Florida Oncology and Hematology Consultants LLC CurrentSince Aug 8, 2021 Accepting new patients
South Broward Hospital District CurrentSince Feb 19, 2022 Accepting new patients
South Broward Hospital District CurrentSince Feb 19, 2022 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

20950 NE 27th Ct
Ste 203
Aventura, FL 33180
Phone (305) 933-6545

1150 N 35th Ave
Ste 170
Hollywood, FL 33021
Phone (954) 985-1500

3700 Washington St
Ste 304
Hollywood, FL 33021
Phone (954) 820-5860

1150 N 35th Ave
Ste 385
Hollywood, FL 33021
Phone (954) 276-5603

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

8200 W Sunrise Blvd
Bldg C
Plantation, FL 33322
Phone (954) 370-8585

7351 W Oakland Park Blvd
Ste 101
Tamarac, FL 33319
Phone (954) 748-2500

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1255759759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD BLDG C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225426",
            "telephone_number": "954-370-8585",
            "fax_number": "954-370-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD BLDG C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225426",
            "telephone_number": "954-370-8585",
            "fax_number": "954-370-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE-COLCLOUGH",
        "first_name": "ANYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9275132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.