Individual provider Active NPI

Stephanie Marie Mezerhane, RD

  • Nutritionist
  • Miami, FL
National Provider Identifier
1316549744
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND10129 Issued in FL
Practice address
11030 N Kendall Dr Ste 100
Miami, FL 33176-8814
Phone
(305) 994-1825
Fax
(305) 508-5519
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X ND10129 FL Primary

Addresses

Primary practice location

11030 N Kendall Dr Ste 100
Miami, FL 33176-8814

Mailing address

14602 SW 21St St
Miami, FL 33175-7505
Phone (954) 790-2101

Other practice location 1

351 N Lejeune Rd Ste 308
Miami, FL 33126-5688
Phone (305) 994-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812003104 FL Practitioner - Registered Dietitian Or Nutrition Professional 5698213429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Medicine Specialists of South Florida PAGroup PAC ID 6901048743, 6 clinicians

Practice addresses (Care Compare)

351 N Lejeune Rd
Suite 308
Miami, FL 33126-5688
Phone (305) 994-1825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: stephanie.mezerhane.1@16434.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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1316549744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757505",
            "telephone_number": "954-790-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N KENDALL DR STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768814",
            "telephone_number": "305-994-1825",
            "fax_number": "305-508-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 N Lejeune Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331265688",
            "country_code": "US",
            "telephone_number": "305-994-1825",
            "fax_number": "305-508-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZERHANE",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND10129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.