Active NPI
Evelyn Anderson
- Social Worker
- Miami, FL
National Provider Identifier
1609191907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 10300 SW 216TH St
Miami, FL 33190 - Phone
- (305) 253-5100
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
10300 SW 216TH St
Miami, FL 33190
Mailing address
10300 SW 216TH St
Miami, FL 33190
Phone (305) 253-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762582100 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1609191907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW 216TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33190",
"telephone_number": "305-253-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 216TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33190",
"telephone_number": "305-253-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "EVELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762582100",
"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 Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.