Active NPI
Murlene Destin
- Case Management Registered Nurse
- Miami, FL
National Provider Identifier
1851866115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN9210876
- Practice address
- 18800 NW 2ND Ave Ste 219B
Miami, FL 33169-4044 - Phone
- (305) 978-8496
- NPI assigned
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN9210876 | FL | Primary |
Addresses
Primary practice location
18800 NW 2ND Ave Ste 219B
Miami, FL 33169-4044
Mailing address
18800 NW 2ND Ave Ste 219B
Miami, FL 33169-4044
Phone (305) 978-8496
Other names 1
- Ivenel Poisson
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 |
|---|---|---|---|
| RN9210876 | FL | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glory Care LLC | Current | Accepting new patients |
Locations
18800 NW 2nd Ave
Ste 219B
Miami Gardens, FL 33169
Phone (305) 978-8495
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.
-
- Home Health Agency
- Miami Gardens, FL
- NPI 1932665767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1851866115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18800 NW 2ND AVE STE 219B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331694044",
"telephone_number": "305-978-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 NW 2ND AVE STE 219B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331694044",
"telephone_number": "305-978-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTIN",
"first_name": "MURLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "FL",
"license": "RN9210876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVENEL",
"last_name": "POISSON",
"code": "2",
"type": "Professional Name"
}
]
}
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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.