Organization Active NPI

Ian Family Medicine Inc

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1063924876
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9318028 Issued in FL
Legal business name
IAN FAMILY MEDICINE INC
Practice address
5870 SW 156TH CT
Miami, FL 33193-2834
Phone
(786) 683-2451
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Mr. Ian Fernandez, ARNPNPI 1366968257
Title
President
Phone
(786) 683-2451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X ARNP9318028 FL Primary

Addresses

Primary practice location

5870 SW 156TH CT
Miami, FL 33193-2834

Mailing address

5870 SW 156TH CT
Miami, FL 33193-2834
Phone (786) 683-2451

National Provider Directory

National Provider Directory

Locations

7100 W 20th Ave
Ste 111
Hialeah, FL 33016
Phone (305) 423-1064

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1063924876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932834",
            "telephone_number": "786-683-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932834",
            "telephone_number": "786-683-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-683-2451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9318028",
            "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 9, 2017; 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.