Individual provider Active NPI

Marie C Delinois-Pean, FNP-C

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1962224907
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030535 Issued in FL
Practice address
18425 NW 2ND Ave PH 5
Miami Gardens, FL 33169-4524
Phone
(800) 434-1366
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

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 11030535 FL Primary

Addresses

Primary practice location

18425 NW 2ND Ave PH 5
Miami Gardens, FL 33169-4524

Mailing address

18425 NW 2ND Ave PH 5
Miami Gardens, FL 33169-4524
Phone (800) 434-1366

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

State licenses

LicenseStateTypeSpecialty
11030535FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alive and Well Community Partners LLC PastSince Feb 20, 2021 Accepting new patients
Alive and Well Community Partners Broward LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1962224907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE PH 5",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694524",
            "telephone_number": "800-434-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE PH 5",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694524",
            "telephone_number": "800-434-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELINOIS-PEAN",
        "first_name": "MARIE",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.