Andrea Kelly Hughes, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Edgewater, FL
NPI 1972882124 · NPPES record last updated Jun 2, 2020
Key facts
- NPI
- 1972882124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- ARNP2506472 (FL)
- Practice address
- 506 N Ridgewood Ave
Edgewater, FL 32132-1622 - Phone
- (386) 402-7354
- Fax
- (386) 401-2337
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200623000123 | FL | Order and Referring Only - Nurse Practitioner | 5799107652 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2506472 | FL | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP2506472 | FL | Yes |
Addresses
Primary practice location
506 N Ridgewood Ave
Edgewater, FL 32132-1622
Mailing address
506 N Ridgewood Ave
Edgewater, FL 32132-1622
Phone (386) 402-7354
Other providers in Edgewater, FL
- Brooke Holcomb
- Robert E Hole
- Susan A Hole
- Holiday CVS LLC
- Donald J Huggard
- Impact Therapy & Wellness LLC
- Intercoastal Orthotics & Prosthetics, LLC
- Iq Academy. Inc
- Michael Eugene Johnson
- K Ville LLC
All providers in Edgewater, FL · Adult Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.