Individual provider Active NPI

Justice Simone Dorsey-Moore, CNM

  • Advanced Practice Midwife
  • Miami, FL
National Provider Identifier
1275202996
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
11014845 Issued in FL
Practice address
10700 N Kendall Dr Ste 401
Miami, FL 33176-1475
Phone
(305) 270-7999
Fax
(305) 270-6788
NPI assigned
Sep 7, 2021
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 11014845 FL Primary

Addresses

Primary practice location

10700 N Kendall Dr Ste 401
Miami, FL 33176-1475

Mailing address

10700 N Kendall Dr Ste 401
Miami, FL 33176-1475
Phone (305) 270-7999

Other names 1

  • Ms. Justice Moore Other name

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
I20220519001355 FL Practitioner - Certified Nurse Midwife (CNM) 6608253232 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014845FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc CurrentSince Feb 11, 2022 Accepting new patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida, Inc CurrentSince Feb 11, 2022 Accepting new patients
OB Hospitalist Group LLC CurrentSince Aug 16, 2022 Accepting new patients
OB Hospitalist Group LLC Current Accepting new patients
OB Hospitalist Group LLC CurrentSince Aug 16, 2022 Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 6

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275202996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N KENDALL DR STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761475",
            "telephone_number": "305-270-7999",
            "fax_number": "305-270-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N KENDALL DR STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761475",
            "telephone_number": "305-270-7999",
            "fax_number": "305-270-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY-MOORE",
        "first_name": "JUSTICE",
        "middle_name": "SIMONE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "11014845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTICE",
            "last_name": "MOORE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.