Individual provider Active NPI

Aniyamma Joseph, DNP, FNP-BC

  • Family Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1467231563
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023188 Issued in FL
Practice address
4513 NW 31St Ave
Oakland Park, FL 33309-3403
Phone
(954) 440-0983
NPI assigned
Sep 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023188 FL Primary

Addresses

Primary practice location

4513 NW 31St Ave
Oakland Park, FL 33309-3403

Mailing address

3800 W Broward Blvd # 101
Fort Lauderdale, FL 33312-1018
Phone (954) 440-0983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11023188FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Recovery and Suboxone Clinic LLC Single Specialty CurrentSince Oct 9, 2024 Accepting new patients
Prestige Clinicians LLC Single Specialty CurrentSince Oct 9, 2024 Accepting new patients
Medm LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients

Locations

4513 NW 31st Ave
Oakland Park, FL 33309
Phone (954) 496-2599

4513 NW 31st Ave
Ste 1
Oakland Park, FL 33309
Phone (954) 496-2599

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1467231563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD # 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "954-440-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 NW 31ST AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093403",
            "telephone_number": "954-440-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ANIYAMMA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.