Individual provider Active NPI

Marlene S Fletcher, M.D.

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1679659734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 45221 Issued in FL
Practice address
6447 Miami Lakes Dr E
Ste. 210G
Miami Lakes, FL 33014-2741
Phone
(305) 826-3535
Fax
(305) 826-3737
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 45221 FL Primary

Addresses

Primary practice location

6447 Miami Lakes Dr E
Ste. 210G
Miami Lakes, FL 33014-2741

Mailing address

6447 Miami Lakes Dr E
Ste. 210G
Miami Lakes, FL 33014-2741
Phone (305) 826-3535

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 45221FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shores Diagnostic Center Inc Past Accepting new patients
Nilza Kallos, M.D., P.a. PastSince Jun 1, 2002 Accepting new patients
Coral Gables MRI Inc Past Accepting new patients

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679659734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR E",
            "address_2": "STE. 210G",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142741",
            "telephone_number": "305-826-3535",
            "fax_number": "305-826-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR E",
            "address_2": "STE. 210G",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142741",
            "telephone_number": "305-826-3535",
            "fax_number": "305-826-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MARLENE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 45221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.