Vivian Abdallah, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP3079752 Issued in FL

Practice address

C/O North Broward Medical Center
201 East Sample Road
Deerfield Beach, FL 33064

Phone

(954) 786-6755

NPI assigned

Mar 8, 2006

Last updated

Apr 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesco North Broward LLC

  • Anesthesiology Physician
  • Fort Lauderdale, FL
  • NPI 1699763862
  NPD
• Anesthesia and Critical Care Specialists of Palm Beach, PA

  • Anesthesiology Physician
  • West Palm Beach, FL
  • NPI 1639126840

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesiology Consultants of the Palm Beaches PA

  • Anesthesiology Physician
  • Wellington, FL
  • NPI 1720013287
  NPD (past)
• South Florida Gastroenterology Associates PA

  • Gastroenterology Physician
  • Lake Worth, FL
  • NPI 1194758417
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1780652669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "STE 5 C/O ANESCO NORTH BROWARD LLC",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O NORTH BROWARD MEDICAL CENTER",
            "address_2": "201 EAST SAMPLE ROAD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-786-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLAH",
        "first_name": "VIVIAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3079752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305935900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A1 Imaging of Deerfield LLC (A1 Imaging of Deerfield)
• A1Ability Inc.
• A1Derful Therapy LLC
• Douglas Nicholas Abaid, DDS
• Mohammed Abdallah, DO
• Ameera Abdoolah
• Amy Abdou, DO
• Michael Canlas Abiog, M.D.
• Abml-Iem, LLC
• La'Shautae Abrams, LCAS-A

• Certified Registered Nurse Anesthetist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.