Hendy Aubourg

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009368 Issued in FL

Practice address

6940 Tyler St
Hollywood, FL 33024-7456

Phone

(786) 380-3507

NPI assigned

Oct 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1659979656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 TYLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 TYLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247456",
            "telephone_number": "786-380-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBOURG",
        "first_name": "HENDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hollywood",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hollywood",
            "address_1": "6940 Tyler St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330247456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hanan C Atia, M.D.
• Atlantic Coast Healthcare Group LLC
• Atlas Global Healthcare
• Atrack Solutions
• Rama Atwan
• Frantz Aubry Jr., MD
• Audax Healthcare Management
• Audiocare Hearing AIDS, Inc
• M Richard Auerbach, MD
• Jhastiamay Auguste

• Family Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, 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 Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.