Individual provider Active NPI

Thamar Maurice, FNP

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1225276769
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003272 Issued in FL
Practice address
99 NW 183Rd St Ste 120
Miami Gardens, FL 33169-4518
Phone
(786) 446-7470
Fax
(786) 434-6423
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5182385 FL
Family Nurse Practitioner 363LF0000X 11003272 FL Primary

Addresses

Primary practice location

99 NW 183Rd St Ste 120
Miami Gardens, FL 33169-4518

Mailing address

99 NW 183Rd St Ste 120
Miami Gardens, FL 33169-4518
Phone (786) 446-7470

Other practice location 1

66 W Flagler St Fl 9
Miami, FL 33130-1887
Phone (305) 490-6797

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
I20230815000939 FL Practitioner - Nurse Practitioner 8921460551 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5182385FLMDLicensed Practical Nurse
11003272FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Health Community Clinic CurrentSince Mar 10, 2025 Accepting new patients
Dr. Thamar Maurice Butler Medical Center LLC CurrentSince Nov 26, 2023 Accepting new patients
Infinity Health Training Center Family Current Accepting new patients
Grow Healthcare Group PA CurrentSince Dec 19, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 7588
Miami, FL 33130

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

66 W Flagler St
Fl 9
Miami, FL 33130
Phone (305) 490-6797

99 NW 183rd St
Ste 120
Miami Gardens, FL 33169
Phone (305) 490-6797

Organizations & group practices 4

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1225276769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NW 183RD ST STE 120",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694518",
            "telephone_number": "786-446-7470",
            "fax_number": "786-434-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NW 183RD ST STE 120",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694518",
            "telephone_number": "786-446-7470",
            "fax_number": "786-434-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 W Flagler St Fl 9",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331301887",
            "country_code": "US",
            "telephone_number": "305-490-6797",
            "fax_number": "305-317-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURICE",
        "first_name": "THAMAR",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5182385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.