Individual provider Active NPI

Justine Marie McKee, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1760958185
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9304748 Issued in FL
Practice address
3661 S Miami Ave Ste 906
Miami, FL 33133-4214
Phone
(305) 974-5533
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 9304748 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 906
Miami, FL 33133-4214

Mailing address

13303 SW 31St St
Miramar, FL 33027-3907
Phone (954) 736-6879

Other practice location 1

1928 Tyler St
Hollywood, FL 33020-4517
Phone (305) 974-5543

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
I20191025000451 FL Practitioner - Nurse Practitioner 3577895440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Inpatient PhysiciansGroup PAC ID 2567429483, 88 clinicians

Practice addresses (Care Compare)

6200 SW 73Rd St
Box 69
Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9304748FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Inpatient Physicians CurrentSince Sep 1, 2019 Accepting new patients
Christian Gonzalez, MD, LLC PastSince Aug 1, 2019 Accepting new patients

Locations

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1760958185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 SW 31ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273907",
            "telephone_number": "954-736-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 906",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "305-974-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 Tyler St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330204517",
            "country_code": "US",
            "telephone_number": "305-974-5543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JUSTINE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9304748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.