Individual provider Active NPI

Fachida Coreus, RN

  • Registered Nurse
  • Miami Gardens, FL
National Provider Identifier
1316121908
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9196448 Issued in FL
Practice address
111 NW 183Rd St
Suite 400
Miami Gardens, FL 33169-4537
Phone
(305) 892-4753
Fax
(305) 493-0814
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9196448 FL Primary

Addresses

Primary practice location

111 NW 183Rd St
Suite 400
Miami Gardens, FL 33169-4537

Mailing address

111 NW 183Rd St
Suite 400
Miami Gardens, FL 33169-4537
Phone (305) 892-4753

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9196448FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1316121908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST",
            "address_2": "SUITE 400",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694537",
            "telephone_number": "305-892-4753",
            "fax_number": "305-493-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST",
            "address_2": "SUITE 400",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694537",
            "telephone_number": "305-892-4753",
            "fax_number": "305-493-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREUS",
        "first_name": "FACHIDA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9196448",
            "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 Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.