Active NPI
Patricia Katherine Forzley, NP
- Adult Health Nurse Practitioner
- South Miami, FL
National Provider Identifier
1912476128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1180742
- Practice address
- 7300 SW 62ND PL Ste 200
South Miami, FL 33143-4800 - Phone
- (305) 669-0184
- NPI assigned
- Nov 16, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1180742 | FL | Primary |
Addresses
Primary practice location
7300 SW 62ND PL Ste 200
South Miami, FL 33143-4800
Mailing address
7300 SW 62ND PL Ste 200
South Miami, FL 33143-4800
Phone (305) 669-0184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1180742 | Other | FL | ARP |
| 1180742 | Other | FL | APRN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1180742 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1912476128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 SW 62ND PL STE 200",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434800",
"telephone_number": "305-669-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SW 62ND PL STE 200",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434800",
"telephone_number": "305-669-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORZLEY",
"first_name": "PATRICIA",
"middle_name": "KATHERINE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "1180742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARP",
"identifier": "1180742",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "1180742",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Miami, FL
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- Adrian Michael Franco, DMD
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- Fred Pedroletti DMD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.