Individual provider Active NPI

Reeve Duboff, ARNP

  • Family Nurse Practitioner
  • Ft Lauderdale, FL
National Provider Identifier
1710097506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1084472 Issued in FL
Practice address
733 Breakers Ave
Ft Lauderdale, FL 33304-4116
Phone
(954) 568-7920
Fax
(954) 565-6551
NPI assigned
Aug 30, 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
Family Nurse Practitioner 363LF0000X ARNP1084472 FL Primary

Addresses

Primary practice location

733 Breakers Ave
Ft Lauderdale, FL 33304-4116

Mailing address

12391 NW 30TH St
Sunrise, FL 33323-1517
Phone (954) 741-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ARNP1084472FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant House Florida, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710097506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12391 NW 30TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231517",
            "telephone_number": "954-741-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 BREAKERS AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044116",
            "telephone_number": "954-568-7920",
            "fax_number": "954-565-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOFF",
        "first_name": "REEVE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1084472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.