Active NPI
Laurice Bou Nemer, M.D.
- Obstetrics & Gynecology Physician
- Miami, FL
National Provider Identifier
1902194475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME137276
- Practice address
- 1611 NW 12TH Ave
Department of OBGYN
Miami, FL 33136-1005 - Phone
- (305) 585-5640
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN16526 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME137276 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Department of OBGYN
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Department of OBGYN
Miami, FL 33136-1005
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME137276 | FL | MD | Obstetrics & Gynecology Physician |
| TRN16526 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Center for Infertility and Reproductive Endocrinology | Past | Accepting new patients | |
| Northwest Center for Infertility and Reproductive Endocrinology | 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.
-
dba IVF Florida Reproductive Associates
- Specialist
- Margate, FL
- NPI 1225108541
-
dba IVF Florida Reproductive Associates
- Reproductive Endocrinology Physician
- Margate, FL
- NPI 1265517536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1902194475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "DEPARTMENT OF OBGYN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "DEPARTMENT OF OBGYN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOU NEMER",
"first_name": "LAURICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN16526",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME137276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.