Active NPI
Tribehealth, Inc.
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1023727021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TRIBEHEALTH, INC.
- Practice address
- 382 NE 191St St
Miami, FL 33179-3899 - Phone
- (973) 714-1889
- NPI assigned
- Nov 17, 2022
- Last updated
- Nov 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyndsey Elizabeth Lord
- Title
- Chief Operating Officer
- Phone
- (973) 714-1889
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
382 NE 191St St
Miami, FL 33179-3899
Mailing address
382 NE 191St St
Miami, FL 33179-3899
Phone (973) 714-1889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668643200000",
"number": "1023727021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 NE 191ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793899",
"telephone_number": "973-714-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 NE 191ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793899",
"telephone_number": "973-714-1889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIBEHEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "LYNDSEY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "973-714-1889"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.