Henrietta Nwaokoh, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9115011 Issued in FL

Practice address

100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511

Phone

(305) 651-3038

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1417628454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 VENETIAN ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695511",
            "telephone_number": "305-651-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 Venetian St",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330232631",
            "country_code": "US",
            "telephone_number": "954-292-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAOKOH",
        "first_name": "HENRIETTA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9115011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincenzo Novara, MD
• Cila Nudelman, PSY.D
• Pedro C Nunez Ferrer
• Dailenys Nunez Paredes
• Nurse Consulting Services
• Jennifer O'Neal, LMHC
• Oak Grove Physician Services, P.a.
• Kristin Taylor Oakes, ARNP
• Oasis Chiropractic
• Oasis Family Practice

• Medical Physician Assistant in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; 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.