Evivia

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EVIVIA

Practice address

1370 Washington Ave Ste 224
Miami Beach, FL 33139-4215

Phone

(786) 673-4029

NPI assigned

May 25, 2020

Organization subpart

No

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

Authorized official

Name

Antonina Eremenko, NP-CNPI 1316567753

Title

Ceo

Phone

(786) 673-4029

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonina Eremenko, NP-C

  • Family Nurse Practitioner
  • Miami Beach, FL
  • NPI 1316567753
  NPD Authorized official

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1336762327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON AVE STE 224",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394215",
            "telephone_number": "786-673-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON AVE STE 224",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394215",
            "telephone_number": "786-673-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 W Flagler St Unit 900",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331301807",
            "country_code": "US",
            "telephone_number": "786-530-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVIVIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "EREMENKO",
        "authorized_official_first_name": "ANTONINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-673-4029",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lili Estrin, MD
• Elizabeth Etkin-Kramer, M.D.
• Ethan Andrew Etlinger, PA-C
• Evan Rubensteen DMD PA
• Evergreen Therapy Services, Inc
• Evolution Health Group LLC
• Ewellness Therapy, PLLC
• Exposito Chiropractic Center PA
• Ariel Exposito, D.M.D.
• Extremity Preservation Inc

• Health Service Clinic/Center in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.