Organization Active NPI

Belfon Health and Aesthetics

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1356911770
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BELFON HEALTH AND AESTHETICS
Practice address
12064 Miramar Pkwy Ste 101
Miramar, FL 33025-7003
Phone
(786) 412-1150
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Mrs. Tysharra Kenyatta Belfon, NPNPI 1477087104
Title
Owner, Nurse Practitioner
Phone
(786) 412-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

12064 Miramar Pkwy Ste 101
Miramar, FL 33025-7003

Mailing address

1861 SW 101St Way
Miramar, FL 33025-6531
Phone (786) 412-1150

National Provider Directory

National Provider Directory

Locations

12064 Miramar Pkwy
Ste 101
Miramar, FL 33025
Phone (786) 412-1150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1356911770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 SW 101ST WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256531",
            "telephone_number": "786-412-1150",
            "fax_number": "478-202-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12064 MIRAMAR PKWY STE 101",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257003",
            "telephone_number": "786-412-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELFON HEALTH AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "BELFON",
        "authorized_official_first_name": "TYSHARRA",
        "authorized_official_middle_name": "KENYATTA",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-412-1150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.