Active NPI
Athena Luzod
- Nurse Practitioner
- Doral, FL
National Provider Identifier
1881047686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1245132
- Practice address
- 13850 NW 41St St
Doral, FL 33178-3004 - Phone
- (786) 263-4933
- Fax
- (786) 263-5057
- NPI assigned
- Jul 15, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1245132 | FL | Primary |
Addresses
Primary practice location
13850 NW 41St St
Doral, FL 33178-3004
Mailing address
405 NW 130TH St
North Miami, FL 33168-3746
Phone (305) 685-7277
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 |
|---|---|---|---|
| 1245132 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Memorial Hospital | 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.
-
- Clinic/Center
- Doral, FL
- NPI 1477568178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1881047686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 NW 130TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331683746",
"telephone_number": "305-685-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13850 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331783004",
"telephone_number": "786-263-4933",
"fax_number": "786-263-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZOD",
"first_name": "ATHENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "1245132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.