Individual provider Active NPI

Marie Carline Oseh

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1417406026
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9214680 Issued in FL
Practice address
20523 NW 8TH Ave
Miami Gardens, FL 33169-2381
Phone
(786) 223-1744
NPI assigned
Sep 23, 2016
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9214680 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9214680 FL Primary
Registered Nurse 163W00000X 9214680 FL

Addresses

Primary practice location

20523 NW 8TH Ave
Miami Gardens, FL 33169-2381

Mailing address

20523 NW 8TH Avenue
Miami Gardens, FL 33169
Phone (786) 223-1744

Other names 1

  • Ms. Marie Carline Desir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190220001735 FL Practitioner - Nurse Practitioner 9133467954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6115 Stirling Rd
Suite 215
Davie, FL 33314-7240
Phone (786) 223-1744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9214680FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elleorhim Mental Wellbeing LLC Family CurrentSince Nov 1, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 18, 2022 Accepting new patients
Elleorhim Medical Group LLC Family CurrentSince May 25, 2025 Accepting new patients

Locations

6115 Stirling Rd
Ste 215
Davie, FL 33314
Phone (786) 223-1744

20348 NW 2nd Ave
Miami, FL 33169
Phone (754) 364-6154

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1417406026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20523 NW 8TH AVENUE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "786-223-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20523 NW 8TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692381",
            "telephone_number": "786-223-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEH",
        "first_name": "MARIE",
        "middle_name": "CARLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9214680",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9214680",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9214680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "DESIR",
            "middle_name": "CARLINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.