Individual provider Active NPI

Natalia Kogan, DC, ARNP

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1861440034
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9326379 Issued in FL
Practice address
909 N Miami Beach Blvd
Suite 403
North Miami Beach, FL 33162-3712
Phone
(305) 940-3506
Fax
(305) 944-8055
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9326379 FL Primary
Neurology Chiropractor 111NN0400X 00016 TX
Neurology Chiropractor 111NN0400X CH 8555 FL

Addresses

Primary practice location

909 N Miami Beach Blvd
Suite 403
North Miami Beach, FL 33162-3712

Mailing address

909 N Miami Beach Blvd
Suite 403
North Miami Beach, FL 33162-3712
Phone (305) 940-3506

Other identifiers 4

IdentifierTypeStateIssuer
331208OtherFLWELLCARE
89754OtherFLBC BS
15117OtherFLHUMANA
302784OtherFLAVMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050802000090 FL Practitioner - Chiropractic 2567490451
I20140328000067 FL Practitioner - Nurse Practitioner 2567490451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CH 8555FLMDNeurology Chiropractor
00016TXMDNeurology Chiropractor
2760SCMDSpeech-Language Pathologist
ARNP 9326379FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Integrated Medical, PC Neurology Past Accepting new patients
Strong Health Chiropractic LLC Neurology Past Accepting new patients

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1861440034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 403",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-940-3506",
            "fax_number": "305-944-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 403",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-940-3506",
            "fax_number": "305-944-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "DC, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9326379",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "00016",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH 8555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "331208",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "89754",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "15117",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "302784",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.