Individual provider Active NPI

Myriam Gabriel

  • Adult Health Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1760050397
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11009146 Issued in FL
Practice address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone
(954) 303-9769
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X APRN11009146 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Miami Beach, FL 33140-2948

Mailing address

8271 SW 27TH St
Miramar, FL 33025-7410
Phone (954) 303-9769

Other identifiers 2

IdentifierTypeStateIssuer
000000000OtherFLMEDICARE
00000000MedicaidFL

Electronic endpoints 5

TypeEndpointUseAffiliation
CONNECT URL Ladygabriel@hotmail.com Other
CONNECT URL Ladygabriel@hotmail.com Direct
Direct Messaging Address Myriam.Gabriel@nomisite.com Direct
CONNECT URL Myriam.Gabriel@nomisite.com Health Information Exchange (HIE)
SOAP URL Myriam.Gabriel@nomisite.com Health Information Exchange (HIE)

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
I20211123001440 FL Practitioner - Nurse Practitioner 8729477203 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009146FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Transitional Care Services, Inc Single Specialty CurrentSince Oct 25, 2021 Accepting new patients
Comrehensive Health & Wellness at Home Inc Single Specialty PastSince Sep 5, 2023 Accepting new patients

Locations

15673 Southern Blvd
Ste 107324
Loxahatchee, FL 33470

15673 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 877-0633

Interoperability endpoints

  • Direct secure messaging: myriam.gabriel@nomisite.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1760050397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8271 SW 27TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257410",
            "telephone_number": "954-303-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "954-303-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "MYRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11009146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000000000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ladygabriel@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Ladygabriel@hotmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Ladygabriel@hotmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Alton Rd",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ladygabriel@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Ladygabriel@hotmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Alton Rd",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Myriam.Gabriel@nomisite.com",
            "affiliation": "N",
            "endpointDescription": "Myriam.Gabriel@nomisite.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Alton Rd",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Myriam.Gabriel@nomisite.com",
            "affiliation": "N",
            "endpointDescription": "Myriam.Gabriel@nomisite.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Alton Rd",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Myriam.Gabriel@nomisite.com",
            "affiliation": "N",
            "endpointDescription": "Myriam.Gabriel@nomisite.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Alton Rd",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.