Individual provider Active NPI

Micheline Sam, ARNP

  • Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1710116454
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9192688 Issued in FL
Practice address
1825 NW 167TH St Ste 108
Miami Gardens, FL 33056-4838
Phone
(305) 474-1803
NPI assigned
Jul 2, 2009
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9192688 FL Primary

Addresses

Primary practice location

1825 NW 167TH St Ste 108
Miami Gardens, FL 33056-4838

Mailing address

980 N Michigan Ave Ste 1998
Chicago, IL 60611-7504
Phone (855) 386-2799

Other practice location 1

3465 Galt Ocean Dr Ste 101
Ft Lauderdale, FL 33308-7077
Phone (954) 566-7775

Other practice location 2

10225 Ulmerton Rd Ste 1A
Largo, FL 33771-3522
Phone (727) 585-7408

Other practice location 3

7421 Ridge Rd Ste 105
Port Richey, FL 34668-6935
Phone (855) 386-2799

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
I20180510000986 FL Practitioner - Nurse Practitioner 2769746197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9192688FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duo Medical Group of Florida LLC CurrentSince Feb 18, 2025 Accepting new patients
Center for Family and Child Enrichment, Inc PastSince Apr 13, 2025 Accepting new patients

Locations

2030 W Baseline Rd
Phoenix, AZ 85041
Phone (480) 559-9999

7421 Ridge Rd
Ste 105
Port Richey, FL 34668
Phone (310) 940-4171

980 N Michigan Ave
Ste 1998
Chicago, IL 60611
Phone (312) 273-4750

Interoperability endpoints

  • Direct secure messaging: msam@cfcecares.directbygreenway.com

Organizations & group practices 2

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1710116454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE STE 1998",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117504",
            "telephone_number": "855-386-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NW 167TH ST STE 108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564838",
            "telephone_number": "305-474-1803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3465 Galt Ocean Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333087077",
            "country_code": "US",
            "telephone_number": "954-566-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10225 Ulmerton Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337713522",
            "country_code": "US",
            "telephone_number": "727-585-7408",
            "fax_number": "727-585-7408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7421 RIDGE RD STE 105",
            "address_purpose": "LOCATION",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686935",
            "country_code": "US",
            "telephone_number": "855-386-2799",
            "fax_number": "855-386-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAM",
        "first_name": "MICHELINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9192688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.