Individual provider Active NPI

Jianeya Manzano Suarez, APRN

  • Family Nurse Practitioner
  • North Lauderdale, FL
National Provider Identifier
1508390329
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12230035 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002002056 FL Practitioner - Nurse Practitioner 1557892411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CBHCMS101021FLMDCase Manager/Care Coordinator
17-228FLMDSurgical Assistant
F12230035FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunsouth Health Centers South Florida, LLC CurrentSince Sep 1, 2024 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.

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

Verify at the official NPI Registry.