Individual provider Active NPI

Louise A Depodesta, M.D.

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Miami, FL
National Provider Identifier
1205020450
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
ME 129681 Issued in FL
Practice address
5200 NE 2ND Ave
Seasons Hospice & Palliative Care
Miami, FL 33137-2706
Phone
(305) 762-0637
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Radiology) Physician 2085H0002X 233623 MA
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X ME 129681 FL Primary

Addresses

Primary practice location

5200 NE 2ND Ave
Seasons Hospice & Palliative Care
Miami, FL 33137-2706

Mailing address

5200 NE 2ND Ave
Seasons Hospice & Palliative Care
Miami, FL 33137-2706
Phone (305) 762-0637

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 129681FLMDHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
233623MAMDHospice and Palliative Medicine (Radiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1205020450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE",
            "address_2": "SEASONS HOSPICE & PALLIATIVE CARE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-762-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE",
            "address_2": "SEASONS HOSPICE & PALLIATIVE CARE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-762-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPODESTA",
        "first_name": "LOUISE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085H0002X",
            "taxonomy_group": "",
            "desc": "Radiology, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "233623",
            "primary": false
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME 129681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.