Active NPI
Reginah Akintunde-Akinwole, APRN, RN
- Family Nurse Practitioner
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11005089
- Practice address
- 16242 SW 18TH St
Miramar, FL 33027-4456 - Phone
- (954) 438-8334
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11005089 | FL | Primary |
Addresses
Primary practice location
16242 SW 18TH St
Miramar, FL 33027-4456
Mailing address
16242 SW 18TH St
Miramar, FL 33027-4456
Phone (954) 438-8334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13501 | MN | MD | Physician Assistant |
| APRN11005089 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
50 N Laura St
Ste 2500
Jacksonville, FL 32202
Phone (219) 516-3784
1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 1
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": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1982326229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16242 SW 18TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274456",
"telephone_number": "954-438-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16242 SW 18TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274456",
"telephone_number": "954-438-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINTUNDE-AKINWOLE",
"first_name": "REGINAH",
"credential": "APRN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11005089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.