Individual provider Active NPI

Myrthene Nicolas, APRN

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1558858332
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
APRN9259903 Issued in FL
Practice address
220 Sierra Dr
Miami, FL 33179-3855
Phone
(305) 653-8427
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X APRN9259903 FL Primary

Addresses

Primary practice location

220 Sierra Dr
Miami, FL 33179-3855

Mailing address

220 SW 192ND Ter
Pembroke Pines, FL 33029-5454
Phone (786) 440-9775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190816001441 CA Practitioner - Nurse Practitioner 2961739735 Reassigns benefits to 2 organizations
I20220406000521 FL Practitioner - Nurse Practitioner 2961739735

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Les Voisins Home Care, Inc Current Accepting new patients
Palliative Care Doctors Group, Inc CurrentSince Jan 19, 2019 Accepting new patients
Post Acute Care Leaders-Florida LLC CurrentSince Mar 1, 2022 Accepting new patients
Babak Roozrokh, MD Inc Internal Medicine CurrentSince Jan 19, 2019 Accepting new patients

Locations

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 435-1892

1700 Westwood Blvd
Ste 2D
Los Angeles, CA 90024
Phone (310) 475-4865

220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427

925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1558858332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 192ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295454",
            "telephone_number": "786-440-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SIERRA DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793855",
            "telephone_number": "305-653-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "MYRTHENE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "APRN9259903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.