Individual provider Active NPI

Martha Anderson, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1942820303
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006695 Issued in FL
Practice address
1801 NE 123Rd St Ste 314
North Miami, FL 33181-2883
Phone
(954) 266-8108
Fax
(954) 280-8919
NPI assigned
Apr 25, 2020
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006695 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11006695 FL

Addresses

Primary practice location

1801 NE 123Rd St Ste 314
North Miami, FL 33181-2883

Mailing address

PO Box 640036
Miami, FL 33164-0036
Phone (561) 400-9458

Other practice location 1

2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (954) 266-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260108004041 TX Practitioner - Nurse Practitioner 1759779267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Bohannon Dr
Suite 100
Menlo Park, CA 94025-1037

7259 S Bingham Junction Blvd
Midvale, UT 84047-4860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006695FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sprinter Medical West PC CurrentSince Oct 13, 2025 Accepting new patients
Janvier Medical Group PA CurrentSince Jun 29, 2025 Accepting new patients
Peace of His Cornerstone LLC Current Accepting new patients

Locations

1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220

1100 NW Loop 410
Ste 700
San Antonio, TX 78213
Phone (210) 241-4954

Interoperability endpoints

  • Direct secure messaging: martha.anderson@746395612545028.direct.elationemr.com

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, 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": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1942820303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640036",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331640036",
            "telephone_number": "561-400-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 314",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812883",
            "telephone_number": "954-266-8108",
            "fax_number": "954-280-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 NE 214th St Ste 801",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801269",
            "country_code": "US",
            "telephone_number": "954-266-8108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARTHA",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006695",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11006695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.