Individual provider Active NPI

Patricia Marie Jose Philippe, APRN

  • Family Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1891369351
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012589 Issued in FL
Practice address
10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone
(305) 253-5100
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 APRN11012589 FL Primary

Addresses

Primary practice location

10300 SW 216TH St
Cutler Bay, FL 33190-1003

Mailing address

15910 SW 141St St
Miami, FL 33196-6466
Phone (305) 420-8786

Electronic endpoints 6

TypeEndpointUseAffiliation
CONNECT URL www.cloud.hcnetwork.org Direct
CONNECT URL www.cloud.hcnetwork.org Direct
CONNECT URL www.cloud.hcnetwork.org Direct
CONNECT URL www.cloud.hcnetwork.org Direct
CONNECT URL www.cloud.hcnetwork.org Direct
CONNECT URL www.cloud.hcnetwork.org Direct

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
I20220831002385 FL Practitioner - Nurse Practitioner 8527442144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6350 Sunset Dr
South Miami, FL 33143-4836
Phone (305) 253-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012589FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida, Inc CurrentSince Aug 17, 2022 Accepting new patients
Community Health of South Florida Inc CurrentSince Aug 17, 2022 Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

228 Atlantic Blvd
Key Largo, FL 33037
Phone (305) 743-0383

18255 Homestead Ave
Perrine, FL 33157
Phone (305) 234-5400

6350 Sunset Dr
South Miami, FL 33143
Phone (305) 667-5683

Organizations & group practices 3

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1891369351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 SW 141ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966466",
            "telephone_number": "305-420-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901003",
            "telephone_number": "305-253-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPE",
        "first_name": "PATRICIA",
        "middle_name": "MARIE JOSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cloud.hcnetwork.org",
            "affiliation": "N",
            "endpointDescription": "Citrix Login",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10300 SW 216th St",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331901003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cloud.hcnetwork.org",
            "affiliation": "N",
            "endpointDescription": "Citrix Login",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10300 SW 216th St",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331901003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cloud.hcnetwork.org",
            "affiliation": "N",
            "endpointDescription": "Citrix Login",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10300 SW 216th St",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331901003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cloud.hcnetwork.org",
            "affiliation": "N",
            "endpointDescription": "Citrix Login",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10300 SW 216th St",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331901003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cloud.hcnetwork.org",
            "affiliation": "N",
            "endpointDescription": "Citrix Login",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10300 SW 216th St",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331901003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cloud.hcnetwork.org",
            "affiliation": "N",
            "endpointDescription": "Citrix Login",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10300 SW 216th St",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331901003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.