Individual provider Active NPI

Laurie Canasi, APRN

  • Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1760004303
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007595 Issued in FL
Practice address
3345 Burns Rd Ste 302
Palm Beach Gardens, FL 33410-4321
Phone
(561) 622-7661
Fax
(561) 622-4651
NPI assigned
May 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007595 FL
Nurse Practitioner 363L00000X APRN11007595 FL Primary

Addresses

Primary practice location

3345 Burns Rd Ste 302
Palm Beach Gardens, FL 33410-4321

Mailing address

14750 NW 77TH CT Ste 100
Miami Lakes, FL 33016-1507
Phone (786) 758-3152

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
I20200715002234 FL Practitioner - Nurse Practitioner 3779907373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians
South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians

Practice addresses (Care Compare)

3345 Burns Rd
Suite 302
Palm Beach Gardens, FL 33410-4321
Phone (561) 622-7661

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007595FLMDFamily Nurse Practitioner

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC CurrentSince May 17, 2021 Accepting new patients
Claremedica Viking LLC CurrentSince Jul 1, 2025 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

1000 NW 57th Ct
Ste 400
Miami, FL 33126

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15805/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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1760004303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "786-758-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 302",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104321",
            "telephone_number": "561-622-7661",
            "fax_number": "561-622-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANASI",
        "first_name": "LAURIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-16",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007595",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.