Individual provider Active NPI

Laura Yudith Tirse

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1831828185
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03220824 Issued in FL
Practice address
4160 W 12TH Ave Ste 504
Hialeah, FL 33012-4150
Phone
(305) 896-4251
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03220824 FL Primary

Addresses

Primary practice location

4160 W 12TH Ave Ste 504
Hialeah, FL 33012-4150

Mailing address

7500 W 12TH Ave
Hialeah, FL 33014-4623
Phone (786) 385-4541

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F03220824FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1831828185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144623",
            "telephone_number": "786-385-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W 12TH AVE STE 504",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124150",
            "telephone_number": "305-896-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRSE",
        "first_name": "LAURA",
        "middle_name": "YUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F03220824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.