Individual provider Active NPI

Melanie Mari Gregory

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1639634306
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9357568 Issued in FL
Practice address
9800 SW 118TH St
Miami, FL 33176-4134
Phone
(305) 342-3719
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9357568 FL Primary

Addresses

Primary practice location

9800 SW 118TH St
Miami, FL 33176-4134

Mailing address

9800 SW 118TH St
Miami, FL 33176-4134

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
I20201008002541 FL Practitioner - Nurse Practitioner 6305266511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Banyan Community Health Center, IncGroup PAC ID 0547410011, 4 clinicians

Practice addresses (Care Compare)

3733 W Flagler St
Coral Gables, FL 33134-1601
Phone (305) 774-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9357568FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. Current Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Oct 6, 2020 Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Oct 6, 2020 Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients

Locations

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

Interoperability endpoints

  • Direct secure messaging: melanie.gregory@bchc.directbygreenway.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1639634306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SW 118TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SW 118TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764134",
            "telephone_number": "305-342-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MELANIE",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9357568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.