Active NPI
Jianeya Manzano Suarez, APRN
- Family Nurse Practitioner
- North Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F12230035
- Practice address
- 7910 W McNab Rd
North Lauderdale, FL 33068-4303 - Phone
- (954) 666-9362
- Fax
- (305) 402-2800
- NPI assigned
- Apr 18, 2017
- Last updated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F12230035 | FL | Primary |
| Surgical Assistant | 246ZC0007X | 17-228 | FL | |
| Case Manager/Care Coordinator | 171M00000X | CBHCMS101021 | FL |
Addresses
Primary practice location
7910 W McNab Rd
North Lauderdale, FL 33068-4303
Mailing address
5400 Pinehurst Dr
Spring Hill, FL 34606-3833
Phone (352) 277-5348
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCMS101021 | FL | MD | Case Manager/Care Coordinator |
| 17-228 | FL | MD | Surgical Assistant |
| F12230035 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunsouth Health Centers South Florida, LLC | Current | Accepting new patients |
Locations
2475 10th Ave N
Lake Worth, FL 33461
Phone (461) 287-6063
1901 NW 17th Ave
Miami, FL 33125
Phone (305) 325-0011
7910 W McNab Rd
North Lauderdale, FL 33068
Phone (954) 666-9362
14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Miami, FL
- NPI 1114585643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1508390329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 PINEHURST DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346063833",
"telephone_number": "352-277-5348",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 W MCNAB RD",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330684303",
"telephone_number": "954-666-9362",
"fax_number": "305-402-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZANO SUAREZ",
"first_name": "JIANEYA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F12230035",
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "17-228",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCMS101021",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.