Active NPI
Tiffany Marin
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1457005340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11017763
- Practice address
- 2100 NW 42 Ave
Miami, FL 33142 - Phone
- (786) 591-2767
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11017763 | FL | Primary |
Addresses
Primary practice location
2100 NW 42 Ave
Miami, FL 33142
Mailing address
25000 SW 197TH Ave
Homestead, FL 33031-1642
Phone (786) 218-8231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017763 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1457005340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 SW 197TH AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330311642",
"telephone_number": "786-218-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NW 42 AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33142",
"telephone_number": "786-591-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11017763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.