Individual provider Active NPI

Marie Tamara Adonis-Rizzo, ARNP

  • Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1881766574
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2864252 Issued in FL
Practice address
5401 S Congress Ave
Ste 204
Atlantis, FL 33462-6635
Phone
(561) 967-4118
Fax
(561) 967-3463
NPI assigned
Nov 15, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 ARNP2864252 FL Primary

Addresses

Primary practice location

5401 S Congress Ave
Ste 204
Atlantis, FL 33462-6635

Mailing address

5401 S Congress Ave Ste 204
Lake Worth, FL 33462-6637
Phone (561) 967-4118

Other identifiers 1

IdentifierTypeStateIssuer
Y092HOtherFLBCBS

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
I20110125000687 FL Practitioner - Nurse Practitioner 5890974729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Critical Care and SleepGroup PAC ID 1658610910, 19 clinicians

Practice addresses (Care Compare)

5401 S Congress Ave
Suite 204
Atlantis, FL 33462-6637
Phone (561) 967-4118

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care and Sleep CurrentSince Jan 2, 2019 Accepting new patients

Locations

5401 S Congress Ave
Ste 204
Lake Worth, FL 33462
Phone (561) 967-4118

10115 Forest Hill Blvd
Ste 200
Wellington, FL 33414
Phone (561) 793-5155

10131 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33414
Phone (561) 798-4455

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEEBD
  • Direct secure messaging: marie.adonis-rizzo@1069591214882820.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1881766574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-967-4118",
            "fax_number": "561-967-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE",
            "address_2": "STE 204",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626635",
            "telephone_number": "561-967-4118",
            "fax_number": "561-967-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADONIS-RIZZO",
        "first_name": "MARIE",
        "middle_name": "TAMARA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2864252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y092H",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.