Individual provider Active NPI

Nathalie Vachon, APRN, FNP-C, FNP-BC

  • Family Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1982290003
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020129054 Issued in FL
Practice address
10431 NW 24TH CT
Sunrise, FL 33322-2605
Phone
(954) 605-4799
NPI assigned
Dec 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020129054 FL Primary

Addresses

Primary practice location

10431 NW 24TH CT
Sunrise, FL 33322-2605

Mailing address

10431 NW 24TH CT
Sunrise, FL 33322-2605
Phone (954) 605-4799

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
I20210224002904 FL Practitioner - Nurse Practitioner 7416362462 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians
Inphynet South Broward LLCGroup PAC ID 4587563960, 67 clinicians

Practice addresses (Care Compare)

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020129054FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet South Broward LLC CurrentSince Jun 29, 2024 Accepting new patients
Inphynet Contracting Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Dr GS Urgent Care LLC CurrentSince Feb 9, 2021 Accepting new patients
Paragon Contracting Services LLC CurrentSince Mar 1, 2022 Accepting new patients
Criticare Clinics Inc CurrentSince May 4, 2024 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1982290003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 NW 24TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222605",
            "telephone_number": "954-605-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 NW 24TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222605",
            "telephone_number": "954-605-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHON",
        "first_name": "NATHALIE",
        "credential": "APRN, FNP-C, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2020129054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.