Active NPI
Luchanna Stewart
- Counselor
- Miami Gardens, FL
National Provider Identifier
1235687559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ISW10058
- Practice address
- 18620 NW 22ND Ave
Miami Gardens, FL 33056-3206 - Phone
- (305) 788-1775
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ISW10058 | FL | Primary |
Addresses
Primary practice location
18620 NW 22ND Ave
Miami Gardens, FL 33056-3206
Mailing address
18620 NW 22ND Ave
Miami Gardens, FL 33056-3206
Phone (305) 788-1775
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW10058 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1235687559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18620 NW 22ND AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563206",
"telephone_number": "305-788-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18620 NW 22ND AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563206",
"telephone_number": "305-788-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LUCHANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "ISW10058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.