Flora Adelaide Antwi-Miller, DNP
Individual provider Active NPI Family Nurse Practitioner · Spring Valley, NY
NPI 1033348677 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1033348677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F335438-1 (NY)
- Practice address
- 26 E Hickory St
Spring Valley, NY 10977-3707 - Phone
- (845) 573-9662
- NPI assigned
- Jul 2, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- La Casa de Salud Inc
Practice addresses (Care Compare)
324 E 149TH St
Bronx, NY 10451-5602
Phone (718) 665-4300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110818000157 | NY | Practitioner - Nurse Practitioner | 4789853243 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11006377 | FL | MD | Family Nurse Practitioner |
| F335438-01 | NY | MD | Family Nurse Practitioner |
| F335438-1 | NY | MD | Family Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Casa de Salud, Inc | Current |
Accepting new patients | |
| La Casa de Salud Inc. | Current |
Accepting new patients | |
| La Casa de Salud, Inc | Past | Accepting new patients |
Locations
324 E 149th St
Bronx, NY 10451
Phone (718) 665-4300
915 Westchester Ave
Bronx, NY 10459
Phone (646) 224-9300
966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F335438-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | 11006377 | FL | |
| Family Nurse Practitioner | 363LF0000X | F335438-1 | NY | Yes |
Addresses
Primary practice location
26 E Hickory St
Spring Valley, NY 10977-3707
Mailing address
324 E 149TH St
Bronx, NY 10451-5602
Phone (718) 665-4300
Other providers in Spring Valley, NY
- Morgan L Anderson
- Joyce Andrews
- Francisca Anim Addo
- Lovelyne Antoine
- Michel Antoine
- Mavis Ntoah Anyane-Yeboa
- Paul Apeles
- Elaine Apter
- Aqua Swim LLC.
- Arcadian Medical Health PC
All providers in Spring Valley, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.