Individual provider Active NPI

Marilyn Encinosa

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1942544267
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9309247 Issued in FL
Practice address
552 E 10TH St
Hialeah, FL 33010-3634
Phone
(786) 543-6144
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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 9309247 FL Primary

Addresses

Primary practice location

552 E 10TH St
Hialeah, FL 33010-3634

Mailing address

552 E 10TH St
Hialeah, FL 33010-3634
Phone (786) 543-6144

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
I20130709000485 FL Practitioner - Nurse Practitioner 6800036146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9309247FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LBH Med Group LLC PastSince Apr 1, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1942544267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 E 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103634",
            "telephone_number": "786-543-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 E 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103634",
            "telephone_number": "786-543-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCINOSA",
        "first_name": "MARILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9309247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.