Individual provider Active NPI

Nahomie Ismorin

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1962139162
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020633 Issued in FL
Practice address
2091 SW 152ND Ter
Miramar, FL 33027-4373
Phone
(786) 530-7819
NPI assigned
Aug 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11020633 FL Primary

Addresses

Primary practice location

2091 SW 152ND Ter
Miramar, FL 33027-4373

Mailing address

2091 SW 152ND Ter
Miramar, FL 33027-4373
Phone (786) 530-7819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230323000053 FL Practitioner - Nurse Practitioner 0749654374 Reassigns benefits to 2 organizations
I20260527000849 NM Practitioner - Nurse Practitioner 0749654374 Reassigns benefits to 1 organization
I20260528001582 CO Practitioner - Nurse Practitioner 0749654374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11020633FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1962139162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 SW 152ND TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274373",
            "telephone_number": "786-530-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 SW 152ND TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274373",
            "telephone_number": "786-530-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMORIN",
        "first_name": "NAHOMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.