Mirdine Emmeline Minviel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11023977 Issued in FL

Practice address

4787 NW 72ND PL
Coconut Creek, FL 33073-2741

Phone

(954) 822-9322

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bilga Attar MD PA

  • Family Medicine Physician
  • Boca Raton, FL
  • NPI 1124167986
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  FL

  Medicare reassignment
• Grace Mobile Healthcare Solutions LLC

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1750156287
  Authorized official Same address or phone

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1437865300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4787 NW 72ND PL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732741",
            "telephone_number": "954-822-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4787 NW 72ND PL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732741",
            "telephone_number": "954-822-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINVIEL",
        "first_name": "MIRDINE",
        "middle_name": "EMMELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Ann Miholer
• Mindful Harmony Counseing LLC
• Mindful Harmony Inc
• Eve Minnis, APRN
• Minuteclinic
• Nayara Damiann Miranda, DC
• Beverly Mireles-James, FNP-BC
• Raquel Christina Miret, M.S, LMHC
• Robere Jannik Missirian, M.D.
• Mitchell J Marder P.a.

• Family Nurse Practitioner in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.