Individual provider Active NPI

Maranda Streit, APRN

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1649832072
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002912 Issued in FL
Practice address
6610 N University Dr Ste 120
Tamarac, FL 33321-4000
Phone
(954) 720-6166
Fax
(954) 720-3638
NPI assigned
Jul 6, 2019
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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 11002912 FL Primary

Addresses

Primary practice location

6610 N University Dr Ste 120
Tamarac, FL 33321-4000

Mailing address

6610 N University Dr Ste 120
Tamarac, FL 33321-4000
Phone (954) 720-6166

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
I20240417003600 FL Practitioner - Nurse Practitioner 6800235268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Medical Group PAGroup PAC ID 3173625076, 8 clinicians

Practice addresses (Care Compare)

6610 N University Dr
Suite 120
Tamarac, FL 33321-4034
Phone (954) 720-6166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002912FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Pulmonary Associates PA CurrentSince Mar 3, 2024 Accepting new patients
Central Medical Group PA CurrentSince Mar 1, 2024 Accepting new patients

Locations

6610 N University Dr
Ste 120
Tamarac, FL 33321
Phone (954) 340-1992

7707 N University Dr
Ste 106
Tamarac, FL 33321
Phone (954) 720-7807

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1649832072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 N UNIVERSITY DR STE 120",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214000",
            "telephone_number": "954-720-6166",
            "fax_number": "954-720-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 N UNIVERSITY DR STE 120",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214000",
            "telephone_number": "954-720-6166",
            "fax_number": "954-720-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREIT",
        "first_name": "MARANDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-06",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.