Active NPI
Jackson Memorial Hospital
- Neonatal-Perinatal Medicine Physician
- Miami, FL
National Provider Identifier
1568369544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- JACKSON MEMORIAL HOSPITAL
- Practice address
- 1611 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (305) 585-1111
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Taylor Konwai, APRN
- Title
- Nurse Practitioner
- Phone
- (305) 904-7665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
15045 SW 48TH Ter Apt E
Miami, FL 33185-4459
Phone (305) 904-7665
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792627200000",
"number": "1568369544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15045 SW 48TH TER APT E",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854459",
"telephone_number": "305-904-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "KONWAI",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "TAYLOR",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "305-904-7665",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"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 Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.