Integrated Specialty Alliance LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

INTEGRATED SPECIALTY ALLIANCE LLC

Practice address

14400 NW 77TH CT Ste 306
Miami Lakes, FL 33016-1592

Phone

(770) 810-3796

Fax

(770) 810-3789

NPI assigned

Nov 21, 2023

Last updated

Oct 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Shumake

Title

Coo

Phone

(770) 810-3796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kester J Nedd, DO

  • Neurology Physician
  • Miami Lakes, FL
  • NPI 1669499604
  Medicare reassignment NPD
• Omar Baez, M.D.

  • Neurology Physician
  • Miami Lakes, FL
  • NPI 1427348978
  NPD
• Nathan D'Adesky, MD

  • Neurology Physician
  • Miami Lakes, FL
  • NPI 1558998849
  NPD
• David S Filippi, MD

  • Neurology Physician
  • Doral, FL
  • NPI 1154347862
  NPD
• Carlos Joaquin Oliu, MD

  • Neurology Physician
  • Miami Lakes, FL
  • NPI 1548623606
  NPD
• Ivelisse Marie Raimundi, PSY.D.

  • Clinical Neuropsychologist
  • Doral, FL
  • NPI 1811313430
  NPD
• Sreepadma Priya Sonty, M.D., PH.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Doral, FL
  • NPI 1154559045
  NPD
• Brian Jose Villafuerte Trisolini, MD

  • Neuroradiology Physician
  • Miami, FL
  • NPI 1578040093
  NPD
• Michael Anthony Wilson, MD

  • Neurology Physician
  • Miami Lakes, FL
  • NPI 1518578202
  NPD
• Larisa Elberg, MD

  • Neurology Physician
  • Hallandale Beach, FL
  • NPI 1295782209
  NPD (past)
• Edouard Kamel, M.D.

  • Neurology Physician
  • Miami Lakes, FL
  • NPI 1811300536
  NPD (past)
• Daisy Lopez Hernandez

  • Nurse Practitioner
  • Miami, FL
  • NPI 1104618701
  NPD (past)

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1548035322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 301",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161592",
            "telephone_number": "770-810-3796",
            "fax_number": "770-810-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 306",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161592",
            "telephone_number": "770-810-3796",
            "fax_number": "770-810-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPECIALTY ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "SHUMAKE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-810-3796"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.