Organization Active NPI

Nadia Pierre MD PA

  • Obstetrics & Gynecology Physician
  • Loxahatchee, FL
National Provider Identifier
1962858308
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NADIA PIERRE MD PA
Practice address
12983 Southern Blvd
Suite 201
Loxahatchee, FL 33470-9207
Phone
(561) 791-2888
Fax
(561) 491-7447
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Nadia Pierre, MDNPI 1093711004
Title
Authorized Rep/Owner
Phone
(561) 791-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X FL Primary

Addresses

Primary practice location

12983 Southern Blvd
Suite 201
Loxahatchee, FL 33470-9207

Mailing address

12983 Southern Blvd
Suite 201
Loxahatchee, FL 33470-9207
Phone (561) 791-2888

Other identifiers 1

IdentifierTypeStateIssuer
017350600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160913002863 FL Part B Supplier - Clinic/Group Practice 9335435544 Receives reassigned benefits from 1 practitioner
Practice locations: Loxahatchee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2114159Nadia Pierre MD PA12983 Southern Blvd Ste 201, Loxahatchee, FL 33470Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Locations

12983 Southern Blvd
Ste 201
Loxahatchee, FL 33470
Phone (561) 791-2888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1962858308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709207",
            "telephone_number": "561-791-2888",
            "fax_number": "561-491-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709207",
            "telephone_number": "561-791-2888",
            "fax_number": "561-491-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIA PIERRE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "561-791-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017350600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.