Individual provider Active NPI

Tehila Fonfeder, ARNP, CNM

  • Advanced Practice Midwife
  • North Miami Beach, FL
National Provider Identifier
1205516390
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
11027619 Issued in FL
Practice address
825 NE 173Rd Ter
North Miami Beach, FL 33162-2153
Phone
(845) 558-4872
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 11027619 FL Primary

Addresses

Primary practice location

825 NE 173Rd Ter
North Miami Beach, FL 33162-2153

Mailing address

825 NE 173Rd Ter
North Miami Beach, FL 33162-2153
Phone (845) 558-4872

Other identifiers 1

IdentifierTypeStateIssuer
11027619OtherFLADVANCED PRACTICE REGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416003590 FL Practitioner - Certified Nurse Midwife (CNM) 8022584093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 400
Miami, FL 33133-4785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11027619FLMDAdvanced Practice Midwife

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1205516390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 173RD TER",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622153",
            "telephone_number": "845-558-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 173RD TER",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622153",
            "telephone_number": "845-558-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONFEDER",
        "first_name": "TEHILA",
        "credential": "ARNP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "11027619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "11027619",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.