Anaily Roa, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11012164 Issued in FL

Practice address

6213 NW 45TH Ave
Coconut Creek, FL 33073-1974

Phone

(561) 797-4656

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anaily.roa@ctmdpa.directbygreenway.com

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.

• CTMD Medical Center PA

  • Family Medicine Physician
  • Palm Springs, FL
  • NPI 1962066951
  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1619552940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 NW 45TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330731974",
            "telephone_number": "561-797-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 NW 45TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330731974",
            "telephone_number": "561-797-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROA",
        "first_name": "ANAILY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Ripstein, BCBA
• Rising Hope Treatment Center
• Rising Hope Treatment Center, LLC
• Franklin Jay Rivenson, O.D.
• Edna Liseth Rivera Duran
• Mackenson Roberson
• Regina M Roberti, LMT
• Rockwell Seniors II
• Lucia Rodrigues, FNP
• Adrian Rodriguez, MS

• Family Nurse Practitioner in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.