Individual provider Active NPI

Indhira Gypsie Piquion, ARNP

  • Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1477048551
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9383664 Issued in FL
Practice address
8384 W Oakland Park Blvd
Sunrise, FL 33351-7372
Phone
(954) 742-0112
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9383664 FL
Gerontology Nurse Practitioner 363LG0600X 9383664 FL
Primary Care Nurse Practitioner 363LP2300X 9383664 FL
Nurse Practitioner 363L00000X 9383664 FL Primary

Addresses

Primary practice location

8384 W Oakland Park Blvd
Sunrise, FL 33351-7372

Mailing address

2642 NW 91St Ave
Coral Springs, FL 33065-5116
Phone (786) 523-2524

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
I20210113002812 FL Practitioner - Nurse Practitioner 5092128959 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9383664FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohan L Gupta MD PA CurrentSince Jan 4, 2021 Accepting new patients

Locations

8384 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 742-0112

Organizations & group practices 1

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1477048551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 NW 91ST AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655116",
            "telephone_number": "786-523-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8384 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517372",
            "telephone_number": "954-742-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIQUION",
        "first_name": "INDHIRA",
        "middle_name": "GYPSIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9383664",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9383664",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9383664",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9383664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.