Active NPI
Michael Atisha
- Registered Nurse
- Miami Beach, FL
National Provider Identifier
1669710703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 9333039
- Practice address
- 1024 Lenox Avenue
Apt 5
Miami Beach, FL 33139 - Phone
- (305) 791-2596
- NPI assigned
- Jan 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 9333039 | FL | Primary |
Addresses
Primary practice location
1024 Lenox Avenue
Apt 5
Miami Beach, FL 33139
Mailing address
1024 Lenox Avenue
Apt 5
Miami Beach, FL 33139
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9333039 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Solutions LLC | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
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": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1669710703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 LENOX AVENUE",
"address_2": "APT 5",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 LENOX AVENUE",
"address_2": "APT 5",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33139",
"telephone_number": "305-791-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATISHA",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-24",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN 9333039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.