Active NPI
Simone Ann Condell, RN
- Emergency Registered Nurse
- Miami, FL
National Provider Identifier
1578037537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 9264486
- Practice address
- 8900 N Kendall Dr
Miami, FL 33176-2118 - Phone
- (786) 594-9022
- NPI assigned
- Jan 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 9264486 | FL | Primary |
Addresses
Primary practice location
8900 N Kendall Dr
Miami, FL 33176-2118
Mailing address
8900 N Kendall Dr
Miami, FL 33176-2118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124156401 | Medicaid | FL |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9264486 | FL | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547337600000",
"number": "1578037537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-594-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDELL",
"first_name": "SIMONE",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-13",
"last_updated": "2019-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "FL",
"license": "9264486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124156401",
"state": "FL"
}
],
"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 Jan 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.