Individual provider Active NPI

Myriam Andrea Correa Simboli, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1467830570
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007294 Issued in FL
Practice address
9051 SW 156TH CT
Miami, FL 33196-1153
Phone
(305) 904-0917
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11007294 FL Primary

Addresses

Primary practice location

9051 SW 156TH CT
Miami, FL 33196-1153

Mailing address

9051 SW 156TH CT
Miami, FL 33196-1153
Phone (305) 904-0917

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
I20230705001524 FL Practitioner - Nurse Practitioner 8426417718

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1467830570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961153",
            "telephone_number": "305-904-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961153",
            "telephone_number": "305-904-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA SIMBOLI",
        "first_name": "MYRIAM",
        "middle_name": "ANDREA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.