Active NPI
Shiva Anasseri
- General Practice Physician
- Coral Gables, FL
National Provider Identifier
1326260126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- AP 1002
- Practice address
- 430 S Dixie Hwy Ste 210
Coral Gables, FL 33146-2200 - Phone
- (305) 740-0740
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | AP 1002 | FL | Primary |
Addresses
Primary practice location
430 S Dixie Hwy Ste 210
Coral Gables, FL 33146-2200
Mailing address
430 S Dixie Hwy Ste 210
Coral Gables, FL 33146-2200
Phone (305) 740-0740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 1002 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326260126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 S DIXIE HWY STE 210",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462200",
"telephone_number": "305-740-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S DIXIE HWY STE 210",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462200",
"telephone_number": "305-740-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANASSERI",
"first_name": "SHIVA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "AP 1002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.