Individual provider Active NPI

Ayanna Roxanne Sutherland

  • Home Health Agency
  • North Palm Beach, FL
National Provider Identifier
1316410111
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
235031 Issued in FL
Practice address
840 US Highway 1
Ste 435C
North Palm Beach, FL 33408-3829
Phone
(561) 444-5828
Fax
(561) 444-7852
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 235031 FL Primary

Addresses

Primary practice location

840 US Highway 1
Ste 435C
North Palm Beach, FL 33408-3829

Mailing address

840 US Highway 1
Ste 435C
North Palm Beach, FL 33408-3829
Phone (561) 294-7741

Other practice location 1

4597 Arthur St
Palm Beach Gardens, FL 33418-5733
Phone (561) 223-5050

Other identifiers 2

IdentifierTypeStateIssuer
460780064OtherKYCOMPANION SERVICES
460780064MedicaidFL

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aicare Health Current Accepting new patients
Infiniti Care Home Health Services, LLC. CurrentSince Sep 21, 2020 Accepting new patients
Beaches Bar & Cafe PastSince May 24, 2020 Accepting new patients
Ycare Health and Wellness Association Past Accepting new patients

Locations

840 US Highway 1
Ste 435C
Palm Beach Gardens, FL 33408

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1316410111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1",
            "address_2": "STE 435C",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083829",
            "telephone_number": "561-294-7741",
            "fax_number": "561-335-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1",
            "address_2": "STE 435C",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083829",
            "telephone_number": "561-444-5828",
            "fax_number": "561-444-7852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4597 Arthur St",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334185733",
            "country_code": "US",
            "telephone_number": "561-223-5050",
            "fax_number": "561-444-7852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "AYANNA",
        "middle_name": "ROXANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "235031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANION SERVICES",
            "identifier": "460780064",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460780064",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.