Individual provider Active NPI

Beth Zambryck, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1346617511
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2749262 Issued in FL
Practice address
400 N Hiatus Rd Ste 206
Pembroke Pines, FL 33026-5214
Phone
(954) 380-8550
Fax
(954) 380-8580
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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 2749262 FL Primary

Addresses

Primary practice location

400 N Hiatus Rd Ste 206
Pembroke Pines, FL 33026-5214

Mailing address

962 NW 100TH Ave
Pembroke Pines, FL 33024-4372
Phone (954) 940-0799

Other practice location 1

962 NW 100th Ave
Pembroke Pines, FL 33024-4372
Phone (954) 940-0799

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zambryck@evergreen.gwaydirect.com Direct

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
I20151016002328 FL Practitioner - Nurse Practitioner 8921317710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evergreen Medical Center, PAGroup PAC ID 1850535089, 3 clinicians

Practice addresses (Care Compare)

400 N Hiatus Rd
Suite 206
Pembroke Pines, FL 33026-5214
Phone (954) 380-8550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2749262FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Medical Center, PA CurrentSince Sep 28, 2015 Accepting new patients

Locations

400 N Hiatus Rd
#206
Pembroke Pines, FL 33026
Phone (954) 380-8550

400 N Hiatus Rd
Ste 206
Pembroke Pines, FL 33026
Phone (954) 380-8550

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400286
  • Direct secure messaging: zambryck@evergreen.gwaydirect.com
  • Direct secure messaging: beth.zambryck.1@33622.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1346617511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 NW 100TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244372",
            "telephone_number": "954-940-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIATUS RD STE 206",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265214",
            "telephone_number": "954-380-8550",
            "fax_number": "954-380-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "962 NW 100th Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330244372",
            "country_code": "US",
            "telephone_number": "954-940-0799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMBRYCK",
        "first_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2749262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zambryck@evergreen.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 N Hiatus Rd Ste 206",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330265214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.