Individual provider Active NPI

Iseberte Colimon, APRN

  • Pediatric Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1720710270
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11015059 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 200
Fort Lauderdale, FL 33316-2521
Phone
(954) 764-0921
Fax
(954) 467-7432
NPI assigned
Jun 24, 2022
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11015059 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 200
Fort Lauderdale, FL 33316-2521

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 764-0921

Other practice location 1

2300 N Commerce Pkwy Ste 113
Weston, FL 33326-3255
Phone (954) 764-0921

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
I20220708000617 FL Practitioner - Nurse Practitioner 1759761752 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015059FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus Children's Pediatric Specialists, LLC CurrentSince Feb 1, 2026 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC CurrentSince Feb 1, 2026 Accepting new patients
North Broward Hospital District CurrentSince Jul 18, 2022 Accepting new patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince Jul 18, 2022 Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1625 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 722-4950

1625 SE 3rd Ave
Ste 200
Ft Lauderdale, FL 33316
Phone (954) 764-0921

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

Organizations & group practices 6

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1720710270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-764-0921",
            "fax_number": "954-467-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-764-0921",
            "fax_number": "954-467-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Commerce Pkwy Ste 113",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263255",
            "country_code": "US",
            "telephone_number": "954-764-0921",
            "fax_number": "954-467-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLIMON",
        "first_name": "ISEBERTE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11015059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.