Individual provider Active NPI

Andrea Nadine Munroe-Service, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Sunrise, FL
National Provider Identifier
1760965438
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN9186730 Issued in FL
Practice address
8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346
Phone
(561) 404-1422
Fax
(561) 404-1425
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN9186730 FL Primary

Addresses

Primary practice location

8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346

Mailing address

8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346
Phone (561) 404-1422

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9186730FLMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1760965438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517346",
            "telephone_number": "561-404-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517346",
            "telephone_number": "561-404-1422",
            "fax_number": "561-404-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNROE-SERVICE",
        "first_name": "ANDREA",
        "middle_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9186730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.