Individual provider Active NPI

Raisa Metauten, APRN

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1184287278
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001592 Issued in FL
Practice address
16800 NW 2ND Ave
North Miami Beach, FL 33169-5501
Phone
(305) 318-6795
NPI assigned
Apr 15, 2019
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11001592 FL Primary
Family Nurse Practitioner 363LF0000X APRN11001592 FL

Addresses

Primary practice location

16800 NW 2ND Ave
North Miami Beach, FL 33169-5501

Mailing address

18210 Mediterranean Blvd Apt 2006
Hialeah, FL 33015-5740
Phone (786) 428-4442

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
11001592FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1184287278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 MEDITERRANEAN BLVD APT 2006",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155740",
            "telephone_number": "786-428-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695501",
            "telephone_number": "305-318-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METAUTEN",
        "first_name": "RAISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001592",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.