Individual provider Active NPI

Latifeh Shafii, PA-C

  • Medical Physician Assistant
  • North Miami Beach, FL
National Provider Identifier
1962876524
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
P-T1557 Issued in AR
Practice address
160 NW 170TH St
North Miami Beach, FL 33169-5521
Phone
(501) 258-8521
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X P-T1557 AR Primary

Addresses

Primary practice location

160 NW 170TH St
North Miami Beach, FL 33169-5521

Mailing address

160 NW 170TH St
North Miami Beach, FL 33169-5521

Other practice location 1

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NY, FL3 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
I20160114000227 AR Practitioner - Physician Assistant 4789986373 Reassigns benefits to 4 organizations
I20181019000237 NY Practitioner - Physician Assistant 4789986373 Reassigns benefits to 1 organization
I20240701002273 FL Practitioner - Physician Assistant 4789986373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

7001 Rogers Ave
Suite 200
Fort Smith, AR 72903-4022
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903-4100

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Encompass Health Rehabilitation Hospital Ft Smith Inpatient rehabilitation facility, Fort Smith, AR, CCN 043028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021840NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Dec 1, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 27, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 27, 2025 Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

7001 Rogers Ave
Ste 401A
Fort Smith, AR 72903
Phone (479) 314-4650

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

7001 Rogers Ave
Fort Smith, AR 72903
Phone (479) 478-3510

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: lshafii260506@direct.baptist-healthar.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1962876524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "501-258-8521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Towson Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014921",
            "country_code": "US",
            "telephone_number": "479-441-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFII",
        "first_name": "LATIFEH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "P-T1557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.