Individual provider Active NPI

Aaliya Ali

  • Family Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1285085134
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9303368 Issued in FL
Practice address
2951 NW 49TH Ave Ste 301
Lauderdale Lakes, FL 33313-1617
Phone
(954) 739-2221
Fax
(954) 739-2271
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 APRN9303368 FL Primary

Addresses

Primary practice location

2951 NW 49TH Ave Ste 301
Lauderdale Lakes, FL 33313-1617

Mailing address

4717 Satinwood TRL
Coconut Creek, FL 33063-3893

Other practice location 1

4717 Satinwood Trl
Coconut Creek, FL 33063-3893
Phone (954) 815-8251

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
I20180315000999 FL Practitioner - Nurse Practitioner 9436411287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ima of South Florida LLCGroup PAC ID 6406820414, 30 clinicians

Practice addresses (Care Compare)

7100 Camino Real
Boca Raton, FL 33433-5510
Phone (561) 750-2338

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9303368FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Broward Kidney, PA CurrentSince Sep 29, 2020 Accepting new patients
Ima of South Florida LLC CurrentSince Mar 3, 2025 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 115
Boca Raton, FL 33487
Phone (561) 939-0760

7100 Camino Real
Ste 110
Boca Raton, FL 33433
Phone (561) 362-9748

2951 NW 49th Ave
Ste 301
Lauderdale Lakes, FL 33313
Phone (954) 731-9100

Interoperability endpoints

  • Direct secure messaging: aaliya.ali.1@31574.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1285085134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 SATINWOOD TRL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 301",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131617",
            "telephone_number": "954-739-2221",
            "fax_number": "954-739-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4717 Satinwood Trl",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330633893",
            "country_code": "US",
            "telephone_number": "954-815-8251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "AALIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9303368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.