Individual provider Active NPI

Elinor De la Morena, APRN

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1295490688
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016306 Issued in FL
Practice address
801 Meadows Rd Ste 116-118
Boca Raton, FL 33486-2346
Phone
(613) 389-6155
Fax
(561) 338-9616
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 11016306 FL Primary

Addresses

Primary practice location

801 Meadows Rd Ste 116-118
Boca Raton, FL 33486-2346

Mailing address

23275 Carolwood LN Apt 201
Boca Raton, FL 33428-2111
Phone (954) 773-3101

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

LicenseStateTypeSpecialty
11016306FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suramed Health Center, PA Past Accepting new patients
Suramed Health Center, PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1295490688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23275 CAROLWOOD LN APT 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282111",
            "telephone_number": "954-773-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD STE 116-118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "613-389-6155",
            "fax_number": "561-338-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA MORENA",
        "first_name": "ELINOR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.