Active NPI
Lakisha Denise Coney, ARNP
- Adult Health Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9203065
- Practice address
- 1150 N 35TH Ave
Suite 605
Hollywood, FL 33021-5424 - Phone
- (954) 265-7900
- Fax
- (954) 276-0252
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 9203065 | FL | Primary |
Addresses
Primary practice location
1150 N 35TH Ave
Suite 605
Hollywood, FL 33021-5424
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025
Phone (954) 276-5663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002922300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lconey151090@MHSDIRECT.NET | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 N 35TH Ave
Suite 605
Hollywood, FL 33021-5431
Phone (954) 265-7900
1200 S Pine Island Rd
Suite 350
Plantation, FL 33324-4409
Phone (954) 624-7900
Hospital & facility affiliations
- Memorial Regional Hospital
- Memorial Hospital West
- Memorial Hospital Miramar
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9203065 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons Hospice & Palliative Care of Broward Florida LLC | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Seasons Medical Group of Florida PA | Current | Accepting new patients |
Locations
1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900
1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
1200 S Pine Island Rd
Ste 350
Plantation, FL 33324
Phone (305) 223-2000
17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800
Interoperability endpoints
- lconey151090@mhsdirect.net
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1710238381
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1326479585
-
- Community Based Hospice Care Agency
- Plantation, FL
- NPI 1467851840
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1407017114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33025",
"telephone_number": "954-276-5663",
"fax_number": "954-276-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE",
"address_2": "SUITE 605",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-265-7900",
"fax_number": "954-276-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONEY",
"first_name": "LAKISHA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9203065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002922300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lconey151090@MHSDIRECT.NET",
"affiliation": "N",
"endpointDescription": "MHS DSM",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1150 N 35th Ave",
"address_2": "SUITE 605",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330215424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
- Complete Ketamine Solutions Hollywood LLC
- Comprehensive Health & Wellness Center, P.a.
- Anthony Concepcion
- Concierge Care of Florida LLC
- Isabel Maria Conesa Gonzalez
- Connections Addiction Treatment Center, LLC
- Sally Conner, M.S.P.T.
- Alexandra Larissa Connor
- Conscious Childbirth
- Alex Constantinescu, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.