Individual provider Active NPI

Elizabeth Asin Venereo, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1447001383
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032012 Issued in FL
Practice address
11011 Sheridan St Ste 109
Hollywood, FL 33026-1501
Phone
(954) 961-8400
Fax
(954) 961-8401
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11032012 FL
Family Nurse Practitioner 363LF0000X APRN11032012 FL Primary

Addresses

Primary practice location

11011 Sheridan St Ste 109
Hollywood, FL 33026-1501

Mailing address

7676 NW 180TH Ter
Hialeah, FL 33015-6139
Phone (954) 706-0064

Other practice location 1

7676 NW 180th Ter
Hialeah, FL 33015-6139
Phone (954) 706-0064

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
I20240808000061 FL Practitioner - Nurse Practitioner 9032656087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

11011 Sheridan St
Suite 109
Hollywood, FL 33026-1501
Phone (954) 961-8400

4675 Linton Blvd
Delray Beach, FL 33445-6615

4700 Sheridan St
Hollywood, FL 33021-3416

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11032012FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Sep 3, 2024 Accepting new patients
Gastro Health LLC Current Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

11011 Sheridan St
Ste 109
Hollywood, FL 33026
Phone (954) 431-7724

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

Interoperability endpoints

  • Direct secure messaging: elizabeth.asinvenereo@gastrohealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1447001383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 NW 180TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156139",
            "telephone_number": "954-706-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 109",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261501",
            "telephone_number": "954-961-8400",
            "fax_number": "954-961-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7676 NW 180th Ter",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330156139",
            "country_code": "US",
            "telephone_number": "954-706-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASIN VENEREO",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11032012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.