Idamaria Drake, ARNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

9228503 Issued in FL

Practice address

215 Grand Ave
Coral Gables, FL 33133-4841

Phone

(305) 441-7179

NPI assigned

Jun 2, 2011

Last updated

Mar 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• South Dade Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Coral Gables, FL
  • NPI 1841369006
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1629362116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 SW 93RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734113",
            "telephone_number": "305-299-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GRAND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331334841",
            "telephone_number": "305-441-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "IDAMARIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "FL",
            "license": "9228503",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "FL",
            "license": "9228503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Daniel Bravo,DC,PA
• Dr. Eleonor Pimentel MD PA
• Dr. Gloria Montes de Oca, PA
• Dr. Jalal Taslimi Medical Center
• Dr. John C. Nordt,III,M.D.
• Elsa Drevyn
• DSC Dade LLC (Dependable Senior Care)
• Ivonne Duarte, DDS
• Margot Duchowny, APRN
• Alexander Joseph Duckworth, M.D.

• Critical Care Neonatal Nurse Practitioner in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Critical Care Neonatal Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.