Individual provider Active NPI

Terri Elaine Encalada

  • Gerontology Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1275262933
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11019285 Issued in FL
Practice address
6971 W Sunrise Blvd Ste 201
Plantation, FL 33313-4407
Phone
(954) 321-7700
Fax
(844) 286-3447
NPI assigned
Jun 8, 2022
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11019285 FL Primary

Addresses

Primary practice location

6971 W Sunrise Blvd Ste 201
Plantation, FL 33313-4407

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address terri.encalada.1@29601.direct.athenahealth.com Direct

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
I20250826000222 FL Practitioner - Nurse Practitioner 0042690356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

6971 W Sunrise Blvd
Suite 201
Plantation, FL 33313-4407
Phone (954) 321-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019285FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6971 W Sunrise Blvd
Ste 201
Plantation, FL 33313
Phone (954) 321-7700

Interoperability endpoints

  • Direct secure messaging: terri.encalada.1@29601.direct.athenahealth.com

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1275262933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD STE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-321-7700",
            "fax_number": "844-286-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCALADA",
        "first_name": "TERRI",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11019285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terri.encalada.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6971 W Sunrise Blvd Ste 201",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333134407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.