Individual provider Active NPI

Nancy M Whitfield, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1295116341
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9267865 Issued in FL
Practice address
10401 SW 40TH St
Miami, FL 33165-3745
Phone
(305) 222-2000
Fax
(888) 842-4420
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 ARNP9267865 FL Primary

Addresses

Primary practice location

10401 SW 40TH St
Miami, FL 33165-3745

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nancy.whitfield@conviva.eclinicaldirectplus.com Direct

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
I20180523003200 FL Practitioner - Nurse Practitioner 3072681873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Specialty LLCGroup PAC ID 2365729308, 16 clinicians

Practice addresses (Care Compare)

11000 SW 211TH St
Cutler Bay, FL 33189-2804
Phone (305) 254-1500

1200 SW 1St St
Miami, FL 33135-2402
Phone (786) 723-5783

301 NW 84TH Ave
Suite 302
Plantation, FL 33324-1807
Phone (954) 247-2168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9267865FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Specialty, LLC CurrentSince May 22, 2019 Accepting new patients

Locations

11000 SW 211th St
Cutler Bay, FL 33189
Phone (305) 254-1500

3233 Palm Ave
Hialeah, FL 33012
Phone (305) 642-0590

692 N Homestead Blvd
Ste 102
Homestead, FL 33030
Phone (786) 243-5900

8608 SW 40th St
Miami, FL 33155
Phone (305) 551-3200

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

11701 Mills Dr
Miami, FL 33183
Phone (305) 270-2700

10401 SW 40th St
Miami, FL 33165
Phone (305) 221-9657

1200 SW 1st St
Miami, FL 33135
Phone (305) 324-2000

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

15516 SW 88th St
Miami, FL 33196
Phone (305) 387-3300

301 NW 84th Ave
#302
Plantation, FL 33324
Phone (954) 247-2168

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.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1295116341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653745",
            "telephone_number": "305-222-2000",
            "fax_number": "888-842-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9267865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.whitfield@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10401 SW 40th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331653745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.