Individual provider Active NPI

Shiji Abraham, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1487290870
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003848 Issued in FL
Practice address
13873 NW 21St St
Pembroke Pines, FL 33028-2618
Phone
(305) 781-4149
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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 11003848 FL Primary

Addresses

Primary practice location

13873 NW 21St St
Pembroke Pines, FL 33028-2618

Mailing address

13873 NW 21St St
Pembroke Pines, FL 33028-2618
Phone (305) 781-4149

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
I20210211002457 FL Practitioner - Nurse Practitioner 6800201492 Reassigns benefits to 2 organizations
Practice locations: Pembroke Pines, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003848FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
V- Care Mobile Health LLC Current Accepting new patients
Waddah Allaf MD PA CurrentSince Mar 1, 2021 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

9380 NW 7th Ave
Miami Shores, FL 33150
Phone (305) 759-8711

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1931 NW 150th Ave
Pembroke Pines, FL 33028
Phone (786) 372-0053

1931 NW 150th Ave
Ste 219
Pembroke Pines, FL 33028
Phone (305) 498-7919

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1487290870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13873 NW 21ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282618",
            "telephone_number": "305-781-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13873 NW 21ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282618",
            "telephone_number": "305-781-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "SHIJI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.