Active NPI
Michael Nelson
- Foot & Ankle Surgery Podiatrist
- Hialeah, FL
National Provider Identifier
1386140408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- XXXX
- Practice address
- 2001 W 68TH St Ste 202
Hialeah, FL 33016-1801 - Phone
- (305) 364-2107
- NPI assigned
- Apr 5, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | XXXX | FL | Primary |
Addresses
Primary practice location
2001 W 68TH St Ste 202
Hialeah, FL 33016-1801
Mailing address
2154 Nice Ave
Mentone, CA 92359-9659
Phone (440) 296-6412
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXX | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1386140408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2154 NICE AVE",
"city": "MENTONE",
"state": "CA",
"postal_code": "923599659",
"telephone_number": "440-296-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 68TH ST STE 202",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161801",
"telephone_number": "305-364-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "XXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.