Anastasia Ivanova, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11029848 Issued in FL

Practice address

4445 Alton Rd
Miami Beach, FL 33140-2852

Phone

(954) 330-9768

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Doctors Group Miami Beach LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami Beach, FL
  • NPI 1255189619
  Medicare reassignment NPD
• Lung Disease Specialists Corp

  • Pulmonary Disease Physician
  • Ft Lauderdale, FL
  • NPI 1063273720
  Medicare reassignment NPD
• Nova Medical Services - Pulmonary & Critical Care Division LLC

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1952133720
  Medicare reassignment NPD
• Physician Group Miami Beach LLC

  • Pulmonary Disease Physician
  • Miami Beach, FL
  • NPI 1457934804
  Medicare reassignment NPD
• George P Azar Jr MD PA

  • Pulmonary Disease Physician
  • Ft Lauderdale, FL
  • NPI 1396961397
  NPD (past)

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1295501757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402852",
            "telephone_number": "954-330-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402852",
            "telephone_number": "954-330-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOVA",
        "first_name": "ANASTASIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11029848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilany Irizarry-Colon, MD
• Irvin H Willis MD PA
• Stephany J Item
• Marilyn Itzkowitz, M.A., CCC - SLP
• Tatiana Perez Ivan, M.D.
• Robert Drew Iver, D.D.S.
• Misa Iwabuchi, DPT
• Marta Izquierdo Rubi
• Jaime Izquierdo, LMT
• J & Y Behavior Solutions Inc

• Gerontology Nurse Practitioner in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.