Individual provider Active NPI

Nadege Bazile

  • Family Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1902499585
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010863 Issued in FL
Practice address
6060 S Falls Circle Dr Apt 303
Lauderhill, FL 33319-6912
Phone
(954) 225-2508
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11010863 FL Primary

Addresses

Primary practice location

6060 S Falls Circle Dr Apt 303
Lauderhill, FL 33319-6912

Mailing address

6060 S Falls Circle Dr Apt 303
Lauderhill, FL 33319-6912
Phone (954) 225-2508

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
I20230629003998 FL Practitioner - Nurse Practitioner 9032578695 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010863FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Internal Medicine Associates Single Specialty CurrentSince Jun 7, 2023 Accepting new patients
Dependable Health Choice CurrentSince Feb 23, 2024 Accepting new patients

Locations

1899 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 725-7291

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJFCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1902499585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 S FALLS CIRCLE DR APT 303",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333196912",
            "telephone_number": "954-225-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 S FALLS CIRCLE DR APT 303",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333196912",
            "telephone_number": "954-225-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZILE",
        "first_name": "NADEGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.