Individual provider Active NPI

Nincy M. Pierre Antoine, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1982109088
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9220671 Issued in FL
Practice address
14103 SW 52ND St
Miramar, FL 33027-5978
Phone
(954) 649-8416
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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 9220671 FL Primary

Addresses

Primary practice location

14103 SW 52ND St
Miramar, FL 33027-5978

Mailing address

14103 SW 52ND St
Miramar, FL 33027-5978
Phone (954) 649-8416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240321001397 FL Practitioner - Nurse Practitioner 0446697874
I20240618002085 TX Practitioner - Nurse Practitioner 0446697874 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9220671FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince May 11, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince May 11, 2024 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 4

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1982109088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14103 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275978",
            "telephone_number": "954-649-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275978",
            "telephone_number": "954-649-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE ANTOINE",
        "first_name": "NINCY",
        "middle_name": "M.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9220671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.