Individual provider Active NPI

Trenae Garibaldi, APRN

  • Family Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1871116020
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007131 Issued in FL
Practice address
4850 W Oakland Park Blvd Ste 219
Lauderdale Lakes, FL 33313-7261
Phone
(954) 730-2842
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 212338 LA
Family Nurse Practitioner 363LF0000X 11007131 FL Primary

Addresses

Primary practice location

4850 W Oakland Park Blvd Ste 219
Lauderdale Lakes, FL 33313-7261

Mailing address

1865 79TH Street Cswy
North Bay Village, FL 33141-4238

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007131FLMDFamily Nurse Practitioner
212338LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garibaldi Consulting, LLC CurrentSince Jul 3, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trenae.garibaldi.1@30093.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1871116020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 79TH STREET CSWY",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD STE 219",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137261",
            "telephone_number": "954-730-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBALDI",
        "first_name": "TRENAE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "212338",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; 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.