Active NPI
Samantha Elias, APRN
- Family Nurse Practitioner
- Aventura, FL
National Provider Identifier
1801557491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11016093
- Practice address
- 2920 NE 207TH St Ste 1005
Aventura, FL 33180-1446 - Phone
- (954) 309-7422
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11016093 | FL | Primary |
Addresses
Primary practice location
2920 NE 207TH St Ste 1005
Aventura, FL 33180-1446
Mailing address
6848 NW 110TH Way
Parkland, FL 33076-3829
Phone (954) 309-7422
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016093 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1801557491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6848 NW 110TH WAY",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330763829",
"telephone_number": "954-309-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 NE 207TH ST STE 1005",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801446",
"telephone_number": "954-309-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAS",
"first_name": "SAMANTHA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11016093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.