Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNELISE DUSSAULT FNP
NPI 1457969339
Nurse Practitioner - Family in Pembroke Pines, FL

Q: What is Annelise Dussault's NPI number?

The NPI number for Annelise Dussault is 1457969339. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Annelise Dussault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Annelise Dussault was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 16, 2020

1546 NW 167TH AVE, PEMBROKE PINES, FL 33028(954) 218-9020 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Jul 16, 2020 (2 updates tracked since 2020).

On this page

About Annelise Dussault Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNELISE DUSSAULT FNP (NPI 1457969339) is an individual family provider in Pembroke Pines, Florida, licensed in Florida (11051804) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1457969339

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNELISE DUSSAULTCredential: FNP

Location Address1546 NW 167TH AVEPembroke Pines, FL 33028-1371

Mailing Address1546 Nw 167th AvePembroke Pines, FL 33028-1371 · (954) 218-9020

Phone(954) 218-9020

Sole ProprietorYes

Enumeration DateJuly 16, 2020

Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration

NPPES CertifiedNovember 5, 2026

✔ NPI 1457969339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11051804

1546 NW 167TH AVE, Pembroke Pines, FL 33028

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annelise Dussault's NPI number?

The NPI number for Annelise Dussault is 1457969339. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Annelise Dussault located?

Annelise Dussault practices at 1546 NW 167th Ave, Pembroke Pines, FL 33028. The listed phone number is (954) 218-9020.

What is Annelise Dussault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Annelise Dussault was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.