Nicole-Ann Maria Prestwidge, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9103079 Issued in FL

Practice address

11373 SW 211TH St
Suite 16
Miami, FL 33189-2245

Phone

(305) 234-0009

Fax

(305) 234-8688

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • North Bay Village, FL
  • NPI 1306802038
  NPD (past)
• Yesenia Medina DO PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1073818761
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528133097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15490 SW 134TH PL",
            "address_2": "APT 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331778122",
            "telephone_number": "305-971-4354",
            "fax_number": "305-971-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 SW 211TH ST",
            "address_2": "SUITE 16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892245",
            "telephone_number": "305-234-0009",
            "fax_number": "305-234-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTWIDGE",
        "first_name": "NICOLE-ANN",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9103079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Rehabilitation Center, Inc
• Prestige Therapy
• Prestigious Mental Wellness (Prestigious Mental Wellness LLC)
• Rodolfo Prestinary Esquivel
• Richard A Preston, MD, MBA
• Dumi Presuma, MD
• Jennifer Prete, M.D.
• Arlety Pretel Alfonso de Armas
• Ernesto A Pretto Jr., MD
• Pretty Family Home Care, Inc. (Pretty Family Home Care Alf Inc)

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.