Individual provider Active NPI

Atarah Debowrah Yisrael, RN

  • Registered Nurse
  • North Miami, FL
National Provider Identifier
1396285847
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2510092 Issued in FL
Practice address
12864 Biscayne Blvd # 278
North Miami, FL 33181-2007
Phone
(786) 657-5001
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2510092 FL Primary

Addresses

Primary practice location

12864 Biscayne Blvd # 278
North Miami, FL 33181-2007

Mailing address

12864 Biscayne Blvd # 278
North Miami, FL 33181-2007
Phone (786) 657-5001

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2510092FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1396285847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12864 BISCAYNE BLVD # 278",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812007",
            "telephone_number": "786-657-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12864 BISCAYNE BLVD # 278",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812007",
            "telephone_number": "786-657-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YISRAEL",
        "first_name": "ATARAH",
        "middle_name": "DEBOWRAH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "2510092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.