Individual provider Active NPI

Anissa Rodriguez

  • Family Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1376186437
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004695 Issued in FL
Practice address
5300 W Hillsboro Blvd
Coconut Creek, FL 33073-4395
Phone
(954) 725-4141
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004695 FL Primary
Family Medicine Physician 207Q00000X APRN11004695 FL

Addresses

Primary practice location

5300 W Hillsboro Blvd
Coconut Creek, FL 33073-4395

Mailing address

9054 NW 14TH CT
Pembroke Pines, FL 33024-4601
Phone (954) 895-8649

Other practice location 1

350 NW 84th Ave Ste 109
Plantation, FL 33324-1847
Phone (954) 725-4141

Other names 1

  • Anissa Deltoro Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arodriguez@sfva.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
I20221201001150 FL Practitioner - Nurse Practitioner 3476931841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Vascular AssociatesGroup PAC ID 1850392531, 4 clinicians

Practice addresses (Care Compare)

5300 W Hillsboro Blvd
Suite 107
Coconut Creek, FL 33073-4395
Phone (954) 725-4141

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004695FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Vascular Associates CurrentSince Oct 20, 2022 Accepting new patients
ENT and Allergy Associates of Florida, LLC PastSince Oct 20, 2022 Accepting new patients

Locations

180 John F Kennedy Dr
Atlantis, FL 33462

180 John F Kennedy Dr
Ste 200
Atlantis, FL 33462
Phone (561) 973-4141

5300 W Hillsboro Blvd
Ste 107
Coconut Creek, FL 33073
Phone (954) 725-4141

350 NW 84th Ave
Ste 109
Plantation, FL 33324
Phone (954) 424-9444

Organizations & group practices 2

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 1

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1376186437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9054 NW 14TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244601",
            "telephone_number": "954-895-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "954-725-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 NW 84th Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241847",
            "country_code": "US",
            "telephone_number": "954-725-4141",
            "fax_number": "954-725-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004695",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11004695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodriguez@sfva.com",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work e mail",
            "address_1": "5300 W Hillsboro Blvd",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330734395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANISSA",
            "last_name": "DELTORO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.