Active NPI
Patricia Prado Perez, FNP
- Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1730818014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11019704
- Practice address
- 1519 Shoreline Way
Hollywood, FL 33019-5011 - Phone
- (954) 648-1489
- NPI assigned
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11019704 | FL | Primary |
Addresses
Primary practice location
1519 Shoreline Way
Hollywood, FL 33019-5011
Mailing address
1519 Shoreline Way
Hollywood, FL 33019-5011
Phone (954) 648-1489
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11019704 | FL | MD | Nurse Practitioner |
Interoperability endpoints
- patricia.prado.1@28804.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1730818014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 SHORELINE WAY",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330195011",
"telephone_number": "954-648-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 SHORELINE WAY",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330195011",
"telephone_number": "954-648-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "PATRICIA",
"middle_name": "PRADO",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11019704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.