Organization Active NPI

Michelle Joseph Isma

  • Primary Care Clinic/Center
  • Miramar, FL
National Provider Identifier
1669915351
Registry record updated Dec 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MICHELLE JOSEPH ISMA
Practice address
3857 SW 170TH Ave
Miramar, FL 33027-4623
Phone
(305) 202-0072
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2016

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

Authorized official

Name
Michelle Joseph Isma, NURSE PRACTIONER
Title
President
Phone
(305) 202-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3857 SW 170TH Ave
Miramar, FL 33027-4623

Mailing address

3857 SW 170TH Ave
Miramar, FL 33027-4623
Phone (305) 202-0072

Other names 1

  • MICHELLE JOSEPH ISMA ARNP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481414400000",
    "number": "1669915351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 SW 170TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274623",
            "telephone_number": "305-202-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 SW 170TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274623",
            "telephone_number": "305-202-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE JOSEPH ISMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-12-11",
        "status": "A",
        "authorized_official_last_name": "JOSEPH ISMA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-202-0072",
        "authorized_official_credential": "NURSE PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHELLE JOSEPH ISMA ARNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; 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.