Individual provider Active NPI

Reana Myers, PA

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1780867770
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9104430 Issued in FL
Practice address
8500 SW 92ND St
Suite 101
Miami, FL 33156-7390
Phone
(305) 279-3878
Fax
(786) 235-0384
NPI assigned
Dec 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9104430 FL Primary

Addresses

Primary practice location

8500 SW 92ND St
Suite 101
Miami, FL 33156-7390

Mailing address

8500 SW 92ND St
Suite 101
Miami, FL 33156-7390
Phone (305) 279-3878

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9104430FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Demorizi & Polanco MDS PA Past Accepting new patients
Cardiovascular Medicine Associates PA PastSince May 1, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1931/brand/1/csg/41/fhir/r4

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": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1780867770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SW 92ND ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567390",
            "telephone_number": "305-279-3878",
            "fax_number": "786-235-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 SW 92ND ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567390",
            "telephone_number": "305-279-3878",
            "fax_number": "786-235-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "REANA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9104430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.