Individual provider Active NPI

Leandra R Monroe, PA

  • Physician Assistant
  • N Miami Beach, FL
National Provider Identifier
1245537570
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102803 Issued in FL
Practice address
909 N Miami Beach Blvd
Suite 503
N Miami Beach, FL 33162-3712
Phone
(305) 944-8887
Fax
(305) 944-8440
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102803 FL Primary

Addresses

Primary practice location

909 N Miami Beach Blvd
Suite 503
N Miami Beach, FL 33162-3712

Mailing address

909 N Miami Beach Blvd
Suite 503
N Miami Beach, FL 33162-3712
Phone (305) 944-8887

Other identifiers 1

IdentifierTypeStateIssuer
9102803OtherFLLICENSE

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
I20041206000369 FL Practitioner - Physician Assistant 5193781763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powell Health Solutions CorpGroup PAC ID 7618938903, 2 clinicians

Practice addresses (Care Compare)

100 NW 170TH St
Suite 303
North Miami Beach, FL 33169-5511
Phone (305) 948-4701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Health Solutions Corp CurrentSince Dec 30, 2021 Accepting new patients

Locations

909 N Miami Beach Blvd
Ste 503
North Miami Beach, FL 33162
Phone (305) 570-2990

100 NW 170th St
Ste 303
North Miami Beach, FL 33169
Phone (305) 653-0550

Interoperability endpoints

  • Direct secure messaging: leandra.monroe.1@33187.direct.athenahealth.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.

Hospital & facility affiliations 1

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1245537570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 503",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-944-8887",
            "fax_number": "305-944-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 503",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-944-8887",
            "fax_number": "305-944-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "LEANDRA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9102803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.