Individual provider Active NPI

Grace Elizabeth Cowan, APRN, AANP-BC

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1639880800
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11022619 Issued in FL
Practice address
2631 E Oakland Park Blvd Ste 110
Fort Lauderdale, FL 33306-1607
Phone
(954) 514-7306
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 11022619 FL Primary

Addresses

Primary practice location

2631 E Oakland Park Blvd Ste 110
Fort Lauderdale, FL 33306-1607

Mailing address

9 Hendricks Isle
Fort Lauderdale, FL 33301-3702
Phone (614) 246-1129

Other practice location 1

1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone (561) 330-9363

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
I20230222001933 FL Practitioner - Nurse Practitioner 3476926411 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022619FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerate Wellness Inc CurrentSince Feb 25, 2024 Accepting new patients
Rebecca M Rivera Aprn LLC CurrentSince Feb 25, 2024 Accepting new patients
Dr GS Urgent Care LLC CurrentSince Jan 9, 2023 Accepting new patients
Michael I Cohen D.C., P.a. CurrentSince Nov 1, 2023 Accepting new patients

Locations

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

2631 E Oakland Park Blvd
Ste 110
Fort Lauderdale, FL 33306
Phone (954) 514-7306

2631 E Oakland Park Blvd
Ste 104
Ft Lauderdale, FL 33306
Phone (954) 537-5558

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1639880800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HENDRICKS ISLE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013702",
            "telephone_number": "614-246-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061607",
            "telephone_number": "954-514-7306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334456384",
            "country_code": "US",
            "telephone_number": "561-330-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN, AANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.