Individual provider Active NPI

Angelique Michelle Poyen, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1730725854
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11003951 Issued in FL
Practice address
1806 N Flamingo Rd Ste 150
Pembroke Pines, FL 33028-1029
Phone
(954) 431-0131
Fax
(954) 431-3233
NPI assigned
Nov 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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 APRN11003951 FL Primary

Addresses

Primary practice location

1806 N Flamingo Rd Ste 150
Pembroke Pines, FL 33028-1029

Mailing address

11750 Canal St Unit 312
Miramar, FL 33025-7948

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
APRN11003951FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plantation Pediatrics PA PastSince Feb 6, 2022 Accepting new patients
Personal Care Pediatrics PastSince Dec 14, 2025 Accepting new patients
Plantation Pediatrics PA PastSince Feb 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angelique.poyen.1@27920.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11881/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1730725854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 CANAL ST UNIT 312",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281029",
            "telephone_number": "954-431-0131",
            "fax_number": "954-431-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYEN",
        "first_name": "ANGELIQUE",
        "middle_name": "MICHELLE",
        "credential": "DNP,  APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11003951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.