Active NPI
Micheline Sam, ARNP
- Nurse Practitioner
- Miami Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9192688
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9192688 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duo Medical Group of Florida LLC | Current | Accepting new patients | |
| Center for Family and Child Enrichment, Inc | Past | 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
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Port Richey, FL
- NPI 1043097769
-
- Federally Qualified Health Center (FQHC)
- Miami Gardens, FL
- NPI 1699106088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.