Individual provider Active NPI

Miriam Edouard, ACNP-BC

  • Acute Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1043355837
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11006846 Issued in FL
Practice address
400 N Ashley Dr Ste 1900
Tampa, FL 33602-4311
Phone
(561) 445-9425
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11006846 FL Primary

Addresses

Primary practice location

400 N Ashley Dr Ste 1900
Tampa, FL 33602-4311

Mailing address

3901 W Broward Blvd Unit 120881
Fort Lauderdale, FL 33312-8438
Phone (954) 608-3275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216000186 FL Practitioner - Nurse Practitioner 9335369289 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Global Open Wound Care PLLCGroup PAC ID 8921475294, 14 clinicians
Icare Mobile Medicine, LLCGroup PAC ID 5890193478, 5 clinicians
Horizon Mobile Physician Services IncGroup PAC ID 3678014099, 3 clinicians

Practice addresses (Care Compare)

Tampa, FL 33614
Phone (817) 328-3000

2525 Embassy Dr
Suite 5
Hollywood, FL 33026-4573
Phone (786) 661-7830

784 US Hwy 1
Suite 18
North Palm Beach, FL 33408-4411
Phone (561) 776-7757

Hospital & facility affiliations

  • USA Home Health Services, Inc. Home health agency, Delray Beach, FL, CCN 107785
  • The Roads Home Health Palm Beach Home health agency, West Palm Beach, FL, CCN 109344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince Sep 23, 2024 Accepting new patients
Global Open Wound Care PLLC CurrentSince Mar 8, 2025 Accepting new patients
Horizon Mobile Physician Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Icare Mobile Medicine LLC CurrentSince Aug 1, 2025 Accepting new patients
Global Open Wound Care Services LLC PastSince Jan 26, 2025 Accepting new patients

Locations

2525 Embassy Dr
Ste 5
Hollywood, FL 33026
Phone (786) 661-7830

784 US Highway 1
Ste 18
North Palm Beach, FL 33408
Phone (561) 776-7757

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

8270 Woodland Center Blvd
#121
Tampa, FL 33614
Phone (817) 328-3000

521 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 328-3000

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHFDD/Endpoint/AHHFDD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1043355837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W BROWARD BLVD UNIT 120881",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128438",
            "telephone_number": "954-608-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ASHLEY DR STE 1900",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024311",
            "telephone_number": "561-445-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11006846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.