Organization Active NPI

E Med Nursing Registry

  • Preferred Provider Organization
  • Miami Gardens, FL
National Provider Identifier
1053797670
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
30211788 Issued in FL
Legal business name
E MED NURSING REGISTRY
Practice address
18350 NW 2ND Ave
Miami Gardens, FL 33169
Phone
(754) 234-0536
NPI assigned
Aug 5, 2015
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Mr. Phillip Thompson
Title
Ceo
Phone
(754) 234-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 30211788 FL Primary

Addresses

Primary practice location

18350 NW 2ND Ave
Miami Gardens, FL 33169

Mailing address

8280 NE 1St PL
Miami, FL 33138-3748
Phone (754) 234-0536

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1053797670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 NE 1ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383748",
            "telephone_number": "754-234-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 NW 2ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "754-234-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MED NURSING REGISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-234-0536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "30211788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.