Individual provider Active NPI

Shariffa Gunawardene, ARNP

  • Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1881083368
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9177532 Issued in FL
Practice address
3347 State Road 7
Suite 206
Wellington, FL 33449-8148
Phone
(866) 427-0850
Fax
(561) 282-3238
NPI assigned
Jan 21, 2015
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9177532 FL Primary

Addresses

Primary practice location

3347 State Road 7
Suite 206
Wellington, FL 33449-8148

Mailing address

3347 State Road 7
Suite 206
Wellington, FL 33449-8148
Phone (866) 427-0850

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
I20150707002861 FL Practitioner - Nurse Practitioner 3173835915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Medical Clinic P aGroup PAC ID 3274553912, 2 clinicians

Practice addresses (Care Compare)

3347 S State Rd
7 Suite 206
Wellington, FL 33449-8148
Phone (561) 434-1935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9177532FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Clinic P.a CurrentSince Jan 21, 2015 Accepting new patients

Locations

3347 S State Road 7
Ste 206
Wellington, FL 33449
Phone (561) 283-0381

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": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1881083368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498148",
            "telephone_number": "866-427-0850",
            "fax_number": "561-282-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498148",
            "telephone_number": "866-427-0850",
            "fax_number": "561-282-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNAWARDENE",
        "first_name": "SHARIFFA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9177532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.