Individual provider Active NPI

Nabila Yousef, PA

  • Physician Assistant
  • North Miami, FL
National Provider Identifier
1093197576
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108419 Issued in FL
Practice address
1065 NE 125TH St
Suite 206
North Miami, FL 33161-5821
Phone
(305) 891-0050
Fax
(305) 503-7363
NPI assigned
Jun 22, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108419 FL Primary

Addresses

Primary practice location

1065 NE 125TH St
Suite 206
North Miami, FL 33161-5821

Mailing address

1065 NE 125TH St
Suite 409
North Miami, FL 33161-5821
Phone (786) 436-8938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108419FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1093197576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "SUITE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615821",
            "telephone_number": "786-436-8938",
            "fax_number": "305-503-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "SUITE 206",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615821",
            "telephone_number": "305-891-0050",
            "fax_number": "305-503-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "NABILA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.