Individual provider Active NPI

Renee Waugh, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1275902009
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9309217 Issued in FL
Practice address
9937 Pines Blvd
Pembroke Pines, FL 33024-6175
Phone
(954) 399-8793
Fax
(954) 637-2020
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9309217 FL Primary

Addresses

Primary practice location

9937 Pines Blvd
Pembroke Pines, FL 33024-6175

Mailing address

9937 Pines Blvd
Pembroke Pines, FL 33024-6175
Phone (954) 399-8793

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
I20221108003239 FL Practitioner - Nurse Practitioner 8921475740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nova Southeastern College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FB Health SolutionsGroup PAC ID 9638595143, 10 clinicians

Practice addresses (Care Compare)

2501 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4818
Phone (954) 932-0120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9309217FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FB Health Solutions CurrentSince Jul 30, 2022 Accepting new patients
Pembroke Pines Community Health Center Inc PastSince Aug 1, 2022 Accepting new patients
Forest Drive Physicians PastSince Jul 30, 2022 Accepting new patients
Cleopatra Gordon Pusey, MD P.a. PastSince Feb 10, 2010 Accepting new patients

Locations

2501 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 932-0120

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1275902009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9937 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246175",
            "telephone_number": "954-399-8793",
            "fax_number": "954-637-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9937 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246175",
            "telephone_number": "954-399-8793",
            "fax_number": "954-637-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9309217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.