NPIMap

Organization Active NPI

Nurse Mentors Healthcare

  • Community Health Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1447824461
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
NURSE MENTORS HEALTHCARE
Practice address
6151 Miramar Pkwy
Miramar, FL 33023-3970
Phone
(954) 559-0166
Fax
(954) 272-8437
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Gerda M Williams, DNP, APRNNPI 1750397907
Title
Administrator
Phone
(954) 966-6467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Health Service Clinic/Center 261QH0100X
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

6151 Miramar Pkwy
Miramar, FL 33023-3970

Mailing address

6151 Miramar Pkwy Ste 306
Miramar, FL 33023-3985
Phone (954) 559-0166

Other identifiers 1

IdentifierTypeStateIssuer
301511400MedicaidFL

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address INFO@NURSEMENTORSREGISTRY.COM Direct
Other URL WWW.OFFICEALLY.COM Health Information Exchange (HIE)
CONNECT URL WWW.NURSEMENTORSHEALTHCARE.COM
Other URL WWW.NURSEMENTORSHEALTHCARE.COM Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: info@nursementorsregistry.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1447824461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY STE 306",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233985",
            "telephone_number": "954-559-0166",
            "fax_number": "954-272-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233970",
            "telephone_number": "954-559-0166",
            "fax_number": "954-272-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE MENTORS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GERDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-966-6467",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301511400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@NURSEMENTORSREGISTRY.COM",
            "affiliation": "N",
            "endpointDescription": "DESKTOP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6151 Miramar Pkwy Ste 306",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330233985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.OFFICEALLY.COM",
            "affiliation": "N",
            "endpointDescription": "ELECTRONIC  RECORD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6151 Miramar Pkwy Ste 306",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330233985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.NURSEMENTORSHEALTHCARE.COM",
            "affiliation": "N",
            "address_1": "6151 Miramar Pkwy Ste 306",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330233985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.NURSEMENTORSHEALTHCARE.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6151 Miramar Pkwy Ste 306",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330233985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.