Julissa Leiva

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11024192 Issued in FL

Practice address

18441 NW 2ND Ave Ste 220
Miami Gardens, FL 33169-4577

Phone

(305) 620-7797

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: julissa.leiva.1@14931.direct.athenahealth.com

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1194509711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW 70TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE STE 220",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694577",
            "telephone_number": "305-620-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA",
        "first_name": "JULISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9434346",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Odetta Lee
• Lariana Heaven Lee
• Melissa M Legro
• Merlyn Leiter Bormey
• Julio Leiva
• Marie Claire Lemaire, APRN
• Anamari Lemes
• Micaela Iliana Leni Larralde
• Leo Services Express One Inc
• Magalis Tainely Leon Jorge

• Family Nurse Practitioner in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.