Individual provider Active NPI

Tabatha Lynn Quetgles

  • Nurse Practitioner
  • Weston, FL
National Provider Identifier
1629003983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3080092 Issued in FL
Practice address
1841 Harbor Pointe Circle
Weston, FL 33327
Phone
(954) 655-6373
Fax
(954) 349-1407
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ARNP3080092 FL Primary

Addresses

Primary practice location

1841 Harbor Pointe Circle
Weston, FL 33327

Mailing address

1841 Harbor Pointe Circle
Weston, FL 33327
Phone (954) 655-6373

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
I20040820000760 FL Practitioner - Nurse Practitioner 6800860370 Reassigns benefits to 1 organization
Practice locations: Ft Lauderdale, FL; Dania Beach, FL; Miami, FL; Lake Worth, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 NE 191St St
Miami, FL 33179-3711
Phone (305) 945-2411

2700 N Atlantic Blvd
Fort Lauderdale, FL 33308-7510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3080092FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

440 Phippen Waiters Rd
Dania Beach, FL 33004
Phone (954) 924-0508

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

4445 Pine Forest Dr
Lake Worth, FL 33463
Phone (561) 965-5954

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629003983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 HARBOR POINTE CIRCLE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33327",
            "telephone_number": "954-655-6373",
            "fax_number": "954-349-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 HARBOR POINTE CIRCLE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33327",
            "telephone_number": "954-655-6373",
            "fax_number": "954-349-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUETGLES",
        "first_name": "TABATHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3080092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.