Individual provider Active NPI

Alicia Elena Dabdoub

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1205303054
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9416510 Issued in FL
Practice address
1501 Biscayne Blvd Ste 200
Miami, FL 33132-1461
Phone
(833) 713-0797
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 APRN9416510 FL Primary

Addresses

Primary practice location

1501 Biscayne Blvd Ste 200
Miami, FL 33132-1461

Mailing address

1501 Biscayne Blvd Ste 200
Miami, FL 33132-1461
Phone (337) 130-7978

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Rheumatology and Arthritis Center LLC PastSince Apr 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alicia.dabdoub@426788773298180.direct.elationemr.com

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1205303054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BISCAYNE BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321461",
            "telephone_number": "337-130-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BISCAYNE BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321461",
            "telephone_number": "833-713-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABDOUB",
        "first_name": "ALICIA",
        "middle_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9416510",
            "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 Sep 4, 2020; 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.