Individual provider Active NPI

Alexandra S Lupo, FNP-BC

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1497877294
Registry record updated Oct 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9185949 Issued in FL
Practice address
2221 N 55TH Ave
Hollywood, FL 33021-3321
Phone
(954) 328-9040
Fax
(954) 981-3832
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2186 FL
Family Nurse Practitioner 363LF0000X ARNP9185949 FL Primary

Addresses

Primary practice location

2221 N 55TH Ave
Hollywood, FL 33021-3321

Mailing address

2221 N 55TH Ave
Hollywood, FL 33021-3321
Phone (954) 328-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP 2186FLMDAcupuncturist

Interoperability endpoints

  • Direct secure messaging: alexandra.lupo.1@33622.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381622400000",
    "number": "1497877294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 N 55TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213321",
            "telephone_number": "954-328-9040",
            "fax_number": "954-981-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 N 55TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213321",
            "telephone_number": "954-328-9040",
            "fax_number": "954-981-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "ALEXANDRA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2186",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9185949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.