Individual provider Active NPI

Tameika Mirabelli, NP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1114496577
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9349043 Issued in FL
Practice address
801 S University Dr Ste C136
Plantation, FL 33324-3366
Phone
(954) 693-9190
Fax
(954) 693-9184
NPI assigned
Nov 15, 2018
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9349043 FL Primary

Addresses

Primary practice location

801 S University Dr Ste C136
Plantation, FL 33324-3366

Mailing address

1950 NE 6TH St Unit 1593
Pompano Beach, FL 33060-6541
Phone (786) 708-2404

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmeticare Recovery LLC Family CurrentSince Jan 26, 2022 Accepting new patients
Teresa L Cope PLLC Past Accepting new patients

Locations

1950 NE 6th St
Unit 1593
Pompano Beach, FL 33060
Phone (786) 708-2404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1114496577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NE 6TH ST UNIT 1593",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606541",
            "telephone_number": "786-708-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S UNIVERSITY DR STE C136",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243366",
            "telephone_number": "954-693-9190",
            "fax_number": "954-693-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABELLI",
        "first_name": "TAMEIKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9349043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.