Individual provider Active NPI

Karen Fleuridor, APRN

  • Pediatric Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1902914153
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP2952712 Issued in FL
Practice address
4651 Sheridan St Ste 150
Hollywood, FL 33021-3443
Phone
(954) 276-1600
Fax
(954) 893-6244
NPI assigned
Aug 28, 2006
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP2952712 FL Primary

Addresses

Primary practice location

4651 Sheridan St Ste 150
Hollywood, FL 33021-3443

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other identifiers 1

IdentifierTypeStateIssuer
300883500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfleuridor9541@MHSDIRECT.NET Direct

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
I20171013000301 FL Practitioner - Nurse Practitioner 9234404443 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2952712FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jul 3, 2017 Accepting new patients
South Broward Hospital District CurrentSince Jul 3, 2017 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

5458 Town Center Rd
Ste 102
Boca Raton, FL 33486
Phone (561) 347-8077

1971 SW 172nd Ave
Ste 2500
Miramar, FL 33029
Phone (954) 265-1460

2900 Corporate Way
Miramar, FL 33025
Phone (954) 276-5411

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331

1865 N Corporate Lakes Blvd
Weston, FL 33326
Phone (954) 265-6984

Interoperability endpoints

  • Direct secure messaging: kfleuridor9541@mhsdirect.net

Organizations & group practices 4

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1902914153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 150",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213443",
            "telephone_number": "954-276-1600",
            "fax_number": "954-893-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURIDOR",
        "first_name": "KAREN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP2952712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300883500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfleuridor9541@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4651 Sheridan St Ste 150",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330213443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.