Individual provider Active NPI

Adianez L. Machin

  • Pediatric Nurse Practitioner
  • Miami, FL
National Provider Identifier
1356791883
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP 9357105 Issued in FL
Practice address
14220 SW 177TH Ter
Miami, FL 33177-2623
Phone
(306) 609-6295
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP 9357105 FL Primary

Addresses

Primary practice location

14220 SW 177TH Ter
Miami, FL 33177-2623

Mailing address

14220 SW 177TH Ter
Miami, FL 33177-2623
Phone (306) 609-6295

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
I20170628002102 FL Order and Referring Only - Nurse Practitioner 3375812704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9357105FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1356791883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 SW 177TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772623",
            "telephone_number": "306-609-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 SW 177TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772623",
            "telephone_number": "306-609-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHIN",
        "first_name": "ADIANEZ",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 9357105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.