Active NPI
Donna Weidema Weidema, ARNP
- Student in an Organized Health Care Education/Training Program
- North Miami, FL
National Provider Identifier
1841417623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 625742
- Practice address
- 3000 NE 151St St
North Miami, FL 33181-3605 - Phone
- (305) 919-5620
- Fax
- (305) 919-4003
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 625742 | FL | Primary |
Addresses
Primary practice location
3000 NE 151St St
North Miami, FL 33181-3605
Mailing address
630 Layne Blvd
#202
Hallandale Beach, FL 33009-6584
Phone (305) 490-7581
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
| License | State | Type | Specialty |
|---|---|---|---|
| 625742 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Services-Florida International University-BBC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- N Miami, FL
- NPI 1720293665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841417623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 LAYNE BLVD",
"address_2": "#202",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330096584",
"telephone_number": "305-490-7581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NE 151ST ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331813605",
"telephone_number": "305-919-5620",
"fax_number": "305-919-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDEMA",
"first_name": "DONNA",
"middle_name": "WEIDEMA",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "625742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.