Individual provider Active NPI

Effie Nyerai Simoyi, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1700474350
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010111 Issued in FL
Practice address
1100 NW 71St St
Miami, FL 33150-3894
Phone
(305) 637-6400
Fax
(305) 636-5155
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 11010111 FL Primary

Addresses

Primary practice location

1100 NW 71St St
Miami, FL 33150-3894

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700

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
I20210930002383 FL Practitioner - Nurse Practitioner 6507263779 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010111FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Sep 14, 2021 Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Sep 14, 2021 Accepting new patients
Jessie Trice Community Health System Inc Past Accepting new patients

Locations

1100 NW 71st St
Miami, FL 33150
Phone (305) 836-0991

1100 NW 71st St
#39
Miami, FL 33150

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

Organizations & group practices 4

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1700474350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 71ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331503894",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOYI",
        "first_name": "EFFIE",
        "middle_name": "NYERAI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.