Individual provider Active NPI

Aneta Evelyn Spadaccini, NP, APN

  • Adult Health Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1760417265
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9405292 Issued in FL
Practice address
410 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5529
Phone
(954) 454-5777
Fax
(954) 320-7521
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9405292 FL Primary

Addresses

Primary practice location

410 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5529

Mailing address

410 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5529
Phone (954) 454-5777

Other identifiers 1

IdentifierTypeStateIssuer
100023600MedicaidFL

Other names 1

  • Mrs. Aneta Evelyn Grodzensky Former name

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
I20151201003188 FL Practitioner - Nurse Practitioner 7719902626 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9405292FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Jul 1, 2025 Accepting new patients
Hillsboro Allergy & Family Medicine Inc CurrentSince Apr 21, 2024 Accepting new patients
Todd D Alexander MD SC PastSince Feb 1, 2004 Accepting new patients
Rockford Cardiology Associates, LTD Past Accepting new patients

Locations

220 SW Natura Ave
Deerfield Beach, FL 33441
Phone (561) 392-2021

1827 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 800-4054

410 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 827-2977

20801 NW 2nd Ave
Miami Gardens, FL 33169

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1760417265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095529",
            "telephone_number": "954-454-5777",
            "fax_number": "954-320-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095529",
            "telephone_number": "954-454-5777",
            "fax_number": "954-320-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADACCINI",
        "first_name": "ANETA",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "NP,  APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9405292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100023600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANETA",
            "last_name": "GRODZENSKY",
            "middle_name": "EVELYN",
            "prefix": "MRS.",
            "credential": "NP,  APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.