Individual provider Active NPI

Mowava A Sibdhannie, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1619556537
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011620 Issued in FL
Practice address
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone
(561) 366-4100
Fax
(561) 366-4189
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 APRN11011620 FL Primary

Addresses

Primary practice location

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

4801 S Congress Ave Ste 400
Palm Springs, FL 33461-4746
Phone (561) 366-4100

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
I20220913001898 FL Practitioner - Nurse Practitioner 3274918164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 N Flagler Dr
Florida Cancer Specialists PL
West Palm Beach, FL 33401-3406
Phone (561) 366-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011620FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 12, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4801 S Congress Ave
Ste 400
Palm Springs, FL 33461

1037 S State Road 7
Ste 303
Wellington, FL 33414

3401 Pga Blvd
Ste 200
West Palm Beach, FL 33410

1309 N Flagler Dr
Fl Cancer
West Palm Beach, FL 33401

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: msibdhannie20872@jupitermedicalcenter.direct-ci.com

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1619556537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-366-4100",
            "fax_number": "561-366-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 S Congress Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334614746",
            "country_code": "US",
            "telephone_number": "561-366-4100",
            "fax_number": "561-439-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBDHANNIE",
        "first_name": "MOWAVA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.