Individual provider Active NPI

Summer Rae Henry, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1417735630
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033493 Issued in FL
Practice address
200 S Federal Hwy Apt 203
Fort Lauderdale, FL 33301-3698
Phone
(228) 234-7946
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 11033493 FL Primary
Nurse Practitioner 363L00000X APRN11033493 FL

Addresses

Primary practice location

200 S Federal Hwy Apt 203
Fort Lauderdale, FL 33301-3698

Mailing address

200 S Federal Hwy Apt 203
Fort Lauderdale, FL 33301-3698
Phone (228) 234-7946

Other practice location 1

9960 Central Park Blvd N Ste 100
Boca Raton, FL 33428-1702
Phone (561) 446-0645

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
I20260312000664 FL Practitioner - Nurse Practitioner 7517440159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14201 Dallas Pkwy
Dallas, TX 75254-2916

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11033493FLMDNurse Practitioner
11033493FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC CurrentSince Mar 5, 2026 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Mar 5, 2026 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 100
Boca Raton, FL 33428
Phone (561) 226-4180

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1417735630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S FEDERAL HWY APT 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013698",
            "telephone_number": "228-234-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S FEDERAL HWY APT 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013698",
            "telephone_number": "228-234-7946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9960 Central Park Blvd N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281702",
            "country_code": "US",
            "telephone_number": "561-446-0645",
            "fax_number": "561-431-0342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SUMMER",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033493",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11033493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.