Individual provider Active NPI

Idania Leon, MSN,ARNP,FNP-C

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1477045011
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9334615 Issued in FL
Practice address
16201 SW 95TH Ave
Miami, FL 33157-3459
Phone
(305) 570-2340
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9334615 FL Primary

Addresses

Primary practice location

16201 SW 95TH Ave
Miami, FL 33157-3459

Mailing address

14100 SW 152ND PL
Miami, FL 33196-5012
Phone (786) 201-5271

Other practice location 1

14100 SW 152nd Pl
Miami, FL 33196-5012
Phone (786) 201-5271

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
9334615FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1477045011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SW 152ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965012",
            "telephone_number": "786-201-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 SW 95TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573459",
            "telephone_number": "305-570-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 SW 152nd Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331965012",
            "country_code": "US",
            "telephone_number": "786-201-5271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "IDANIA",
        "credential": "MSN,ARNP,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9334615",
            "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 28, 2019; 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.