Individual provider Active NPI

Michael Allan Webster, APRN

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1144823162
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010181 Issued in FL
Practice address
2525 Ponce de Leon Blvd Ste 300
Coral Gables, FL 33134-6044
Phone
(305) 394-9790
Fax
(305) 394-9779
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 APRN11010181 FL Primary

Addresses

Primary practice location

2525 Ponce de Leon Blvd Ste 300
Coral Gables, FL 33134-6044

Mailing address

2525 Ponce de Leon Blvd Ste 300
Coral Gables, FL 33134-6044
Phone (305) 394-9790

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

State licenses

LicenseStateTypeSpecialty
11092CTMDClinical Social Worker
APRN11010181FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Resource Centers LTD PastSince Jun 14, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1144823162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 PONCE DE LEON BLVD STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346044",
            "telephone_number": "305-394-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PONCE DE LEON BLVD STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346044",
            "telephone_number": "305-394-9790",
            "fax_number": "305-394-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MICHAEL",
        "middle_name": "ALLAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.