Active NPI
Angenie Jean Baptiste
- Medical Physician Assistant
- Hialeah, FL
National Provider Identifier
1396438263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1719
- Practice address
- 300 E 1St Ave # 101
Hialeah, FL 33010-4808 - Phone
- (305) 884-4110
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1719 | PR | Primary |
Addresses
Primary practice location
300 E 1St Ave # 101
Hialeah, FL 33010-4808
Mailing address
300 E 1St Ave # 101
Hialeah, FL 33010-4808
Phone (305) 884-4110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1719 | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1396438263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 1ST AVE # 101",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330104808",
"telephone_number": "305-884-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 1ST AVE # 101",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330104808",
"telephone_number": "305-884-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN BAPTISTE",
"first_name": "ANGENIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "1719",
"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 May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.