Individual provider Active NPI

Janet Revilla, ARNP

  • Nurse Practitioner
  • Weston, FL
National Provider Identifier
1528329943
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2811312 Issued in FL
Practice address
2300 N Commerce Pkwy Ste 103
Weston, FL 33326-3255
Phone
(954) 217-5700
Fax
(954) 217-5704
NPI assigned
Jun 1, 2012
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2811312 FL Primary

Addresses

Primary practice location

2300 N Commerce Pkwy Ste 103
Weston, FL 33326-3255

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 217-5700

Other practice location 1

200 NW 7th Ave
Ft Lauderdale, FL 33311-9026
Phone (954) 759-6600

Other practice location 2

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000

Other practice location 3

9663 Westview Dr
Coral Springs, FL 33076-2513
Phone (954) 320-3323

Other practice location 4

1811 N Pine Island Rd
Plantation, FL 33322-5207
Phone (954) 303-3360

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
I20120911000705 FL Practitioner - Nurse Practitioner 8820246135 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

2609 Santa Barbara Blvd
Cape Coral, FL 33914-4457
Phone (239) 945-9593

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC CurrentSince Jan 17, 2018 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Jul 14, 2021 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 15, 2024 Accepting new patients
Spearhead Healthcare Inc. CurrentSince Jun 15, 2021 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 14, 2021 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 15, 2024 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 14, 2021 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Mar 27, 2013 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Mar 27, 2013 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Mar 27, 2013 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Jul 14, 2021 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 27, 2013 Accepting new patients
Inphynet Contracting Services LLC Nurse Practitioner Past Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
FB Health Solutions PastSince Jun 15, 2021 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

2609 Santa Barbara Blvd
Cape Coral, FL 33914
Phone (239) 945-9533

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

4450 N State Road 7
Ste 1
Coral Springs, FL 33073
Phone (954) 633-1422

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

5812 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 981-9111

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

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

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

129 S State Road 7
Ste 401
Royal Palm Beach, FL 33414
Phone (561) 425-7801

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1528329943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-217-5700",
            "fax_number": "954-217-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 103",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263255",
            "telephone_number": "954-217-5700",
            "fax_number": "954-217-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NW 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333119026",
            "country_code": "US",
            "telephone_number": "954-759-6600",
            "fax_number": "954-759-6665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 Cleveland Clinic Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313609",
            "country_code": "US",
            "telephone_number": "954-659-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9663 Westview Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330762513",
            "country_code": "US",
            "telephone_number": "954-320-3323",
            "fax_number": "954-753-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333225207",
            "country_code": "US",
            "telephone_number": "954-303-3360",
            "fax_number": "954-473-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVILLA",
        "first_name": "JANET",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2811312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.