Individual provider Active NPI

Amina Rachel Loucas, ARNP, FNP-BC

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1407248461
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9288080 Issued in FL
Practice address
4000 NE 170TH St
Apt 105
North Miami Beach, FL 33160-3138
Phone
(305) 807-1591
NPI assigned
Feb 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9288080 FL Primary

Addresses

Primary practice location

4000 NE 170TH St
Apt 105
North Miami Beach, FL 33160-3138

Mailing address

2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401-8374
Phone (305) 807-1591

Other names 1

  • Ms. Amina Gritser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001712 AZ Practitioner - Nurse Practitioner 9739483512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

1726 E Beverly Ave
Suite a
Kingman, AZ 86409-3500
Phone (928) 753-3303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9288080FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Aug 29, 2019 Accepting new patients
Kingman Healthcare, Inc Family CurrentSince Aug 29, 2019 Accepting new patients
Monolith Diagnostics, PC PastSince Aug 31, 2016 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Apr 25, 2016 Accepting new patients

Locations

4995 US Highway 68
Ste 1
Golden Valley, AZ 86413
Phone (928) 681-8500

1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303

2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401
Phone (928) 681-8530

3801 Santa Rosa Dr
Ste 400
Kingman, AZ 86401
Phone (928) 681-8530

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1407248461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 HUALAPAI MOUNTAIN RD",
            "address_2": "STE 101",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018374",
            "telephone_number": "305-807-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 NE 170TH ST",
            "address_2": "APT 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603138",
            "telephone_number": "305-807-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUCAS",
        "first_name": "AMINA",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-28",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9288080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMINA",
            "last_name": "GRITSER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.