Individual provider Active NPI

Auracelene Metayer I

  • Nurse Practitioner
  • North Lauderdale, FL
National Provider Identifier
1306527262
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11025242 Issued in FL
Practice address
5613 W McNab Rd
North Lauderdale, FL 33068-4611
Phone
(954) 245-1026
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11025242 FL Primary

Addresses

Primary practice location

5613 W McNab Rd
North Lauderdale, FL 33068-4611

Mailing address

5613 W McNab Rd
North Lauderdale, FL 33068-4611
Phone (954) 245-1026

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
I20250107000905 FL Practitioner - Nurse Practitioner 9436687399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11025242FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1306527262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684611",
            "telephone_number": "954-245-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 W MCNAB RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684611",
            "telephone_number": "954-245-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METAYER",
        "first_name": "AURACELENE",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.