Individual provider Active NPI

Lunel Milien

  • Nurse Practitioner
  • Lake Park, FL
National Provider Identifier
1629719687
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11015270 Issued in FL
Practice address
1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046
Phone
(561) 847-4794
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11015270 FL Primary

Addresses

Primary practice location

1511 Prosperity Farms Rd Ste 100
Lake Park, FL 33403-2046

Mailing address

1721 N 59TH Ave
Hollywood, FL 33021-4563
Phone (305) 321-0543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260607000048 FL Practitioner - Nurse Practitioner 6406327816 Practice locations: Hollywood, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hollywood, FL 33021
Phone (305) 321-0543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11015270FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gimina Health & Services Center, Inc CurrentSince Apr 10, 2022 Accepting new patients
Amazing Health Care and Services, Inc CurrentSince Apr 10, 2022 Accepting new patients

Locations

1511 Prosperity Farms Rd
Ste 100
Lake Park, FL 33403
Phone (561) 847-4794

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25349/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1629719687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N 59TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214563",
            "telephone_number": "305-321-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD STE 100",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "561-847-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILIEN",
        "first_name": "LUNEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

Verify at the official NPI Registry.