Individual provider Active NPI

Diana Heather Cowan, RN

  • Community Health Registered Nurse
  • Miami Gardens, FL
National Provider Identifier
1396341806
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
9273065 Issued in FL
Practice address
1111 Park Centre Blvd Ste 102
Miami Gardens, FL 33169-5365
Phone
(305) 625-2112
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 9273065 FL Primary

Addresses

Primary practice location

1111 Park Centre Blvd Ste 102
Miami Gardens, FL 33169-5365

Mailing address

1111 Park Centre Blvd Ste 102
Miami Gardens, FL 33169-5365
Phone (305) 625-2112

Other names 1

  • Diana Heather Cowan Former name

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
9273065FLMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantis Educational Center CurrentSince Dec 13, 2020 Accepting new patients

Locations

1111 Park Centre Blvd
Ste 102
Miami Gardens, FL 33169
Phone (305) 625-2112

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.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1396341806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PARK CENTRE BLVD STE 102",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695365",
            "telephone_number": "305-625-2112",
            "fax_number": "305-625-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PARK CENTRE BLVD STE 102",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695365",
            "telephone_number": "305-625-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "DIANA",
        "middle_name": "HEATHER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "9273065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "COWAN",
            "middle_name": "HEATHER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.