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CONCIERGENP
NPI 1760096135
Nurse Practitioner - Primary Care in Hallandale Beach, FL

Active since September 03, 2020CLIA 10D2215157 · Waiver
1001 N FEDERAL HWY STE 200, HALLANDALE BEACH, FL 33009(754) 444-9173 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Jan 10, 2023, Sep 3, 2020 (3 updates tracked since 2020).

About Conciergenp NPPES

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

CONCIERGENP (NPI 1760096135) is a healthcare organization registered as a primary care in Hallandale Beach, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 28, 2027, maintains a secondary practice location in Hollywood, and lists Bethany Laquell Ellis, Owner/nurse Practitionerr, as its authorized official.

NPPES Registry Identity

NPI1760096135
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCONCIERGENP
Location Address1001 N FEDERAL HWY STE 200Hallandale Beach, FL 33009-2416
Mailing Address1001 N Federal Hwy Ste 200Hallandale Beach, FL 33009-2416 · (754) 444-9173 · Fax (786) 221-3179
Phone(754) 444-9173
Organization SubpartNo
Authorized OfficialBethany Laquell EllisOwner/nurse Practitionerr · (754) 444-9173
Enumeration DateSeptember 3, 2020
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1760096135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1001 N FEDERAL HWY STE 200, Hallandale Beach, FL 33009
Open in Google Maps ↗

Secondary Practice Location 1

Location 11221 S 23rd AveHollywood, FL 33020-5912 · Phone (954) 684-5493 · Fax (786) 221-3179

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2215157

Conciergenp · Hallandale Beach, FL
Active · expires Feb 28, 2027
CLIA Number10D2215157
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorBethany Ellis
Laboratory Phone(754) 444-9173
Laboratory LocationConciergenp1001 N Federal Highway, Ste 341, Hallandale Beach, FL 33009
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EN LOVE,LLC
Nurse Practitioner (Family)
1001 N FEDERAL HWY STE 200
HALLANDALE BEACH, FL 33009
Broward County (954) 815-4877
SHOUNEQA JAMES
Nurse Practitioner (Family)
1001 N FEDERAL HWY STE 200
HALLANDALE BEACH, FL 33009
Broward County (954) 815-4877
PALM SANDS PODIATRY PLLC
Podiatrist (Foot & Ankle Surgery)
1001 N FEDERAL HWY STE 200
HALLANDALE BEACH, FL 33009
Broward County (954) 454-5221
ELLIS HOME CARE AGENCY, CORP
Nurse Practitioner (Community Health)
1001 N FEDERAL HWY STE 200
HALLANDALE BEACH, FL 33009
Broward County (954) 886-2911

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 Conciergenp's NPI number?

The NPI number for Conciergenp is 1760096135. It was assigned to this organization in the NPPES registry on September 3, 2020.

Where is Conciergenp located?

Conciergenp is located at 1001 N Federal Hwy Ste 200, Hallandale Beach, FL 33009. The listed phone number is (754) 444-9173.

What is Conciergenp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Conciergenp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2215157) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conciergenp was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.