Individual provider Active NPI

Rose Myrna Augustin

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891184719
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9381066 Issued in FL
Practice address
16601 NE 6TH Ave
Miami, FL 33162-3607
Phone
(786) 554-2891
NPI assigned
Jan 15, 2015
Last updated
Jan 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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 ARNP9381066 FL Primary

Addresses

Primary practice location

16601 NE 6TH Ave
Miami, FL 33162-3607

Mailing address

16601 NE 6TH Ave
Miami, FL 33162-3607
Phone (305) 956-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151027000781 FL Practitioner - Nurse Practitioner 5395778609 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9381066FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sung Ho Bae, DPM, P.a CurrentSince Jul 27, 2014 Accepting new patients

Locations

16601 NE 6th Ave
North Miami Beach, FL 33162
Phone (305) 209-2212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422057600000",
    "number": "1891184719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 NE 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623607",
            "telephone_number": "305-956-2707",
            "fax_number": "305-956-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 NE 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623607",
            "telephone_number": "786-554-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "ROSE MYRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9381066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.