Individual provider Active NPI

Anneli B. Liebig, ARNP

  • Family Nurse Practitioner
  • Ft Lauderdale, FL
National Provider Identifier
1609247089
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2215212 Issued in FL
Practice address
2240 E Sunrise Blvd
Ft Lauderdale, FL 33304-2543
Phone
(954) 566-8309
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 ARNP2215212 FL Primary

Addresses

Primary practice location

2240 E Sunrise Blvd
Ft Lauderdale, FL 33304-2543

Mailing address

2240 E Sunrise Blvd
Ft Lauderdale, FL 33304-2543
Phone (954) 566-8309

Other identifiers 1

IdentifierTypeStateIssuer
1609247089MedicaidFL

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
I20181126001603 FL Practitioner - Nurse Practitioner 3870895386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2240 E Sunrise Blvd
Fort Lauderdale, FL 33304-2543
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Sep 24, 2018 Accepting new patients
Minuteclinic Primary Care Florida LLC Family CurrentSince Nov 15, 2025 Accepting new patients

Locations

2240 E Sunrise Blvd
Ft Lauderdale, FL 33304
Phone (954) 566-8309

1700 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 218-0908

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

312 Lincoln Rd
Miami Beach, FL 33139
Phone (305) 531-7311

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

10241 W Broward Blvd
Plantation, FL 33324
Phone 9542360769 ext. 8221

1501 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 788-0739

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1609247089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E SUNRISE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042543",
            "telephone_number": "954-566-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E SUNRISE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042543",
            "telephone_number": "954-566-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBIG",
        "first_name": "ANNELI",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2215212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609247089",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.