Individual provider Active NPI

Ianni A Asante, MSN, APRN, AGPCNP-BC

  • Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1366195950
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11016166 Issued in FL
Practice address
4930 Elm St # 90
Bethesda, MD 20814-2923
Phone
(240) 630-7956
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 11016166 FL Primary

Addresses

Primary practice location

4930 Elm St # 90
Bethesda, MD 20814-2923

Mailing address

2231 NW 30TH Ave
Fort Lauderdale, FL 33311-3226
Phone (954) 918-0007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ianni.asante@idealimage.com Other Ideal Image

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11016166FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1366195950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 NW 30TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333113226",
            "telephone_number": "954-918-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 ELM ST # 90",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142923",
            "telephone_number": "240-630-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASANTE",
        "first_name": "IANNI",
        "middle_name": "A",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ianni.asante@idealimage.com",
            "affiliation": "Y",
            "endpointDescription": "company email",
            "affiliationName": "Ideal Image",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "company email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company email",
            "address_1": "4930 Elm St # 90",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208142923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.