Active NPI
Anna Ibragimova, ANP
- Adult Health Nurse Practitioner
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306960-1
- Practice address
- 6832 14TH St W Unit 3
Bradenton, FL 34207-5866 - Phone
- (941) 297-2022
- NPI assigned
- Nov 10, 2014
- Last updated
- Jul 31, 2024
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306960-1 | NY | Primary |
Addresses
Primary practice location
6832 14TH St W Unit 3
Bradenton, FL 34207-5866
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
6832 14TH St W
Unit 3
Bradenton, FL 34207-5866
Phone (941) 297-2022
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.04 of 100
- Quality
- 87.5
- Improvement activities
- 40
- Cost
- 77.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306960-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Care Consultants | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Archwell Health Medical of Florida, LLC | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Medical Therapy of New York, PLLC | Past | Accepting new patients | |
| Peninsula Radiology Associates P C | Past | Accepting new patients |
Locations
6832 14th St W
Unit 3
Bradenton, FL 34207
Phone (941) 297-2022
6310 Health Park Way
Ste 120
Lakewood Ranch, FL 34202
Phone (941) 907-8951
9423 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 907-8951
543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.747353
- https://fhir4.healow.com/fhir/r4/EDCGCD
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Venice, FL
- NPI 1497453450
-
- Cardiovascular Disease Physician
- Lakewood Ranch, FL
- NPI 1285870105
-
dba Jamaica Hospital Emergency Department - Radiology
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Physical Medicine & Rehabilitation Physician
- Elizabeth, NJ
- NPI 1114350626
-
- Diagnostic Radiology Physician
- Far Rockaway, NY
- NPI 1700896602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1881090470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6832 14TH ST W UNIT 3",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342075866",
"telephone_number": "941-297-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAGIMOVA",
"first_name": "ANNA",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306960-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.