Active NPI
Kathleen S Schrank, MD
- Emergency Medicine Physician
- Miami, FL
National Provider Identifier
1093722332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME39896
- Practice address
- 1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005 - Phone
- (305) 585-1111
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME39896 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME39896 | FL |
Addresses
Primary practice location
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Mailing address
1500 NW 12TH Ave
JMT - East 1007
Miami, FL 33136-1028
Phone (305) 243-4664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0667196-00 | Medicaid | FL |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Emergency Medicine | Past | Accepting new patients |
| University of Miami | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1336411198
-
- Clinical Medical Laboratory
- Miami, FL
- NPI 1932150752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1093722332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW 12TH AVE",
"address_2": "JMT - EAST 1007",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361028",
"telephone_number": "305-243-4664",
"fax_number": "305-243-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRANK",
"first_name": "KATHLEEN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME39896",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME39896",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0667196-00",
"state": "FL"
}
],
"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 Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.