Individual provider Active NPI

Nympha Charles

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1215579404
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004233 Issued in FL
Practice address
511 NE 172ND St
North Miami Beach, FL 33162-3945
Phone
(305) 879-4314
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 11004233 FL Primary

Addresses

Primary practice location

511 NE 172ND St
North Miami Beach, FL 33162-3945

Mailing address

511 NE 172ND St
North Miami Beach, FL 33162-3945
Phone (305) 879-4314

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802003586 FL Practitioner - Nurse Practitioner 6103218136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

1190 NW 95TH St
Suite 310
Miami, FL 33150-2067
Phone (305) 835-9844

12996 W Dixie Hwy
North Miami, FL 33161-4810
Phone (305) 592-5214

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032-8231
Phone (305) 245-3247

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11004233FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Claremedica Viking LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

1000 NW 57th Ct
Ste 400
Miami, FL 33126

1190 NW 95th St
Ste 310
Miami, FL 33150
Phone (305) 754-3119

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1215579404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NE 172ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623945",
            "telephone_number": "305-879-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NE 172ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623945",
            "telephone_number": "305-879-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "NYMPHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.