Individual provider Active NPI

Anna Sabryna Pare, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Pembroke Pines, FL
National Provider Identifier
1760653430
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME99376 Issued in FL
Practice address
800 E Cypress Dr
Pembroke Pines, FL 33025-4543
Phone
(954) 392-3000
Fax
(954) 392-3067
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME99376 FL Primary

Addresses

Primary practice location

800 E Cypress Dr
Pembroke Pines, FL 33025-4543

Mailing address

800 E Cypress Dr
Pembroke Pines, FL 33025-4543
Phone (954) 392-3000

Other identifiers 1

IdentifierTypeStateIssuer
026004500MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090110000008 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 5890858336 Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1760653430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CYPRESS DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254543",
            "telephone_number": "954-392-3000",
            "fax_number": "954-392-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CYPRESS DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254543",
            "telephone_number": "954-392-3000",
            "fax_number": "954-392-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARE",
        "first_name": "ANNA",
        "middle_name": "SABRYNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME99376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026004500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.