Evangeline Gennaro, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP1100572 Issued in FL

Practice address

10098 W McNab Rd
Tamarac, FL 33321-1895

Phone

(954) 724-9080

NPI assigned

Jan 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3905/brand/1/csg/1/fhir/r4

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.

• George T. Lim Jr, M.D., P.a.

  • Legal Medicine
  • Sunrise, FL
  • NPI 1427366475
  Medicare reassignment
• Nob Hill Medical Center, Inc.

  • Legal Medicine
  • Tamarac, FL
  • NPI 1538478086
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1487077269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16314 SAPPHIRE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313120",
            "telephone_number": "954-349-7826",
            "fax_number": "954-349-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10098 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211895",
            "telephone_number": "954-724-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARO",
        "first_name": "EVANGELINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1100572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General Surgical Associates
• General Surgical Associates Inc
• General Surgical Consultants Inc
• Generic USA Phamracy Inc (Generic USA Pharmacy)
• Genesiscare USA of Florida LLC (Streisand Urology)
• Genoa Healthcare LLC
• Gentler Care Nursing Services
• Genx Care LLC
• George a Lustig MD PA
• Fredric M Gerard, M.D.

• Nurse Practitioner in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.