Individual provider Active NPI

John Tassy Philord, ARNP, NP-C

  • Primary Care Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1497298558
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9248807 Issued in FL
Practice address
6871 SW 39TH CT
Miramar, FL 33023-6634
Phone
(305) 725-4717
NPI assigned
Nov 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9248807 FL Primary

Addresses

Primary practice location

6871 SW 39TH CT
Miramar, FL 33023-6634

Mailing address

6871 SW 39TH CT
Miramar, FL 33023-6634
Phone (305) 725-4717

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

LicenseStateTypeSpecialty
9248807FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482019200000",
    "number": "1497298558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6871 SW 39TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236634",
            "telephone_number": "305-725-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6871 SW 39TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236634",
            "telephone_number": "305-725-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILORD",
        "first_name": "JOHN",
        "middle_name": "TASSY",
        "name_prefix": "Mr.",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9248807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 18, 2016; 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.