Individual provider Active NPI

Ayessha Susana Schiffini Perez, APRN

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1700405537
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006715 Issued in FL
Practice address
17300 NE 23Rd Ave
North Miami Beach, FL 33160-2913
Phone
(305) 318-3654
NPI assigned
Apr 12, 2020
Last updated
Apr 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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 APRN11006715 FL Primary

Addresses

Primary practice location

17300 NE 23Rd Ave
North Miami Beach, FL 33160-2913

Mailing address

17300 NE 23Rd Ave
North Miami Beach, FL 33160-2913
Phone (305) 318-3654

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
I20210308000433 FL Practitioner - Nurse Practitioner 0345656989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11006715FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Finlay Medical Center Current Accepting new patients

Locations

10550 NW 77th Ct
Ste 308
Hialeah Gdns, FL 33016
Phone (305) 644-4907

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, 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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1700405537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 NE 23RD AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331602913",
            "telephone_number": "305-318-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 NE 23RD AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331602913",
            "telephone_number": "305-318-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFINI PEREZ",
        "first_name": "AYESSHA",
        "middle_name": "SUSANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.