Individual provider Active NPI

Sherlan Angela Thomas, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1972599488
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012110 Issued in FL
Practice address
4308 Alton Rd Ste 870
Miami Beach, FL 33140-4560
Phone
(305) 538-1400
Fax
(888) 972-9651
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 11012110 FL Primary
Family Nurse Practitioner 363LF0000X F331012 NY

Addresses

Primary practice location

4308 Alton Rd Ste 870
Miami Beach, FL 33140-4560

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (132) 386-0520

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
I20211014003301 FL Practitioner - Nurse Practitioner 1254505407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

6333 N Federal Hwy
Suite 301 302
Fort Lauderdale, FL 33308-1412
Phone (954) 772-2411

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012110FLMDFamily Nurse Practitioner
F331012NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Aug 16, 2021 Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
AIDS Healthcare Foundation CurrentSince Aug 16, 2021 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

6405 N Federal Hwy
Ste 205
Ft Lauderdale, FL 33308
Phone (954) 727-2174

6333 N Federal Hwy
Ste 301302
Ft Lauderdale, FL 33308
Phone (954) 772-2411

4308 Alton Rd
Ste 870
Miami Beach, FL 33140
Phone (305) 538-1400

3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000

Interoperability endpoints

  • Direct secure messaging: sherlan.thomas.1@26356.direct.athenahealth.com
  • Direct secure messaging: shethoma@montefioredirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1972599488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "132-386-0520",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 870",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "305-538-1400",
            "fax_number": "888-972-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHERLAN",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012110",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.