Active NPI
Ayanna Roxanne Sutherland
- Home Health Agency
- North Palm Beach, FL
National Provider Identifier
1316410111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 235031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460780064 | Other | KY | COMPANION SERVICES |
| 460780064 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aicare Health | Current | Accepting new patients | |
| Infiniti Care Home Health Services, LLC. | Current | Accepting new patients | |
| Beaches Bar & Cafe | Past | 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.
-
- Nursing Care Agency
- Lake Park, FL
- NPI 1780489930
-
- Home Health Registered Nurse
- North Palm Beach, FL
- NPI 1740876309
-
- Medical Foods Supplier
- N Palm Beach, FL
- NPI 1962024539
-
- Community/Behavioral Health Agency
- N Palm Beach, FL
- NPI 1215550769
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.