Individual provider Active NPI

Jessica Lopez

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1770212235
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018931 Issued in FL
Practice address
7171 N University Dr Ste 300
Tamarac, FL 33321-2902
Phone
(954) 720-3188
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11018931 FL Primary

Addresses

Primary practice location

7171 N University Dr Ste 300
Tamarac, FL 33321-2902

Mailing address

3213 NW 104TH Ave
Sunrise, FL 33351-6827

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
I20221028000026 FL Practitioner - Nurse Practitioner 9133596596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flpmi, LLCGroup PAC ID 5991042640, 10 clinicians
Anesthesia Pain Care Consultants LLCGroup PAC ID 6608780937, 10 clinicians

Practice addresses (Care Compare)

4675 Linton Blvd
Suite 200
Delray Beach, FL 33445-6615
Phone (561) 331-5050

7171 N University Dr
Suite 300
Tamarac, FL 33321-2902
Phone (954) 720-3188

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flpmi, LLC CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Pain Care Consultants LLC CurrentSince Jul 8, 2022 Accepting new patients
Anesthesia Pain Care Consultants LLC CurrentSince Jul 8, 2022 Accepting new patients

Locations

2623 S Seacrest Blvd
Ste 108
Boynton Beach, FL 33435
Phone (561) 331-5050

4675 Linton Blvd
Ste 200
Delray Beach, FL 33445
Phone (561) 331-5050

6000 N Federal Hwy
Ft Lauderdale, FL 33308

1330 SE 4th Ave
Ste B
Ft Lauderdale, FL 33316
Phone (954) 463-3804

499 NW 70th Ave
Ste 200
Plantation, FL 33317
Phone (954) 223-5483

7171 N University Dr
Tamarac, FL 33321
Phone (954) 724-6100

7171 N University Dr
Ste 300
Tamarac, FL 33321
Phone (954) 720-3188

7154 N University Dr
Tamarac, FL 33321
Phone (954) 720-3188

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADCDD

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 1

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1770212235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 NW 104TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N UNIVERSITY DR STE 300",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212902",
            "telephone_number": "954-720-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.