Active NPI
Athena Vanzant, PA-C
- Endocrinology, Diabetes & Metabolism Physician
- South Miami, FL
National Provider Identifier
1366568008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- PA9102679
- Practice address
- 6141 Sunset Dr Ste 403
South Miami, FL 33143-5026 - Phone
- (305) 665-2300
- Fax
- (305) 669-8966
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102679 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | PA9102679 | FL | Primary |
Addresses
Primary practice location
6141 Sunset Dr Ste 403
South Miami, FL 33143-5026
Mailing address
6141 Sunset Dr Ste 403
South Miami, FL 33143-5026
Phone (305) 665-2300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U0060 | Other | BCBS | |
| IB768Z | Other | FL | MEDICARE |
| 346256 | Other | FL | AVMED |
Other names 1
- Athena Mayers
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- athena.vanzant.1@16570.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.
-
- Endocrinology, Diabetes & Metabolism Physician
- South Miami, FL
- NPI 1083165658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1366568008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6141 SUNSET DR STE 403",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435026",
"telephone_number": "305-665-2300",
"fax_number": "305-669-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6141 SUNSET DR STE 403",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435026",
"telephone_number": "305-665-2300",
"fax_number": "305-669-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANZANT",
"first_name": "ATHENA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102679",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "PA9102679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "U0060",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IB768Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "346256",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ATHENA",
"last_name": "MAYERS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.