Michal Nizan, ARNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP1927792 Issued in FL

Practice address

12750 Judy St
Dade City, FL 33525-8323

Phone

(352) 567-2633

Fax

(352) 567-2633

NPI assigned

Feb 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ms_mnizan@landmarkhealth-direct.org

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.

• South Tampa Medical Group PA

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1588718860
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1821065780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 JUDY ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258323",
            "telephone_number": "352-567-2633",
            "fax_number": "352-567-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 JUDY ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258323",
            "telephone_number": "352-567-2633",
            "fax_number": "352-567-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAN",
        "first_name": "MICHAL",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1927792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304196400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisen Nguyen, OT
• Christi Gatlin Nicholas
• Lindsey Nichols
• Sara Nichols
• Nimoh Pharmacy and Compounding LLC
• Tamara Norby, HHA
• North Tampa Pharmacy, Inc
• Sarah Novak
• Ohi West Medical Group II LLC
• Nikayla Oltin

• Adult Health Nurse Practitioner in Dade City, FL
• Providers in Dade City, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.