The Fenix Health Group, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE FENIX HEALTH GROUP, INC

Practice address

721 NW 29TH St
Miami, FL 33127-3828

Phone

(786) 487-4535

NPI assigned

Jun 21, 2015

Last updated

Nov 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer John Carbon

Title

Manager

Phone

(786) 487-4535

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1434844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1144602681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331273828",
            "telephone_number": "786-487-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331273828",
            "telephone_number": "786-487-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FENIX HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-21",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "JOHN CARBON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-487-4535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.