Active NPI
Heydi Menoutis
- Family Nurse Practitioner
- North Miami, FL
National Provider Identifier
1730965831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11027229
- Practice address
- 1801 NE 123Rd St Ste 409
North Miami, FL 33181-2884 - Phone
- (786) 216-7803
- NPI assigned
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11027229 | FL | Primary |
Addresses
Primary practice location
1801 NE 123Rd St Ste 409
North Miami, FL 33181-2884
Mailing address
1801 NE 123Rd St Ste 409
North Miami, FL 33181-2884
Phone (786) 216-7803
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11027229 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare PA | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1730965831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 NE 123RD ST STE 409",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812884",
"telephone_number": "786-216-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NE 123RD ST STE 409",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812884",
"telephone_number": "786-216-7803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENOUTIS",
"first_name": "HEYDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11027229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.