Nicole Marlene Socarras, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9112969 Issued in FL

Practice address

15077 S Dixie Hwy
Palmetto Bay, FL 33176-7930

Phone

(786) 293-3200

Fax

(305) 232-9082

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nsocarras@pa.trimed.direct-ci.com

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.

• Raymond Wayne Whitted MD MPH LLC

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  • NPI 1053642389
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC

  • Pediatrics Physician
  • Palmetto Bay, FL
  • NPI 1760739833
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1003432063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "786-293-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15077 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767930",
            "telephone_number": "786-293-3200",
            "fax_number": "305-232-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCARRAS",
        "first_name": "NICOLE",
        "middle_name": "MARLENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108412700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skin Local Dermatology LLC
• Skyline Psychiatry, PLLC
• Stephen Matthew Slawson
• Jacob Small, PHD, ARNP-C
• Snell Family Wellness Center Inc
• Vivian Ines Sochay
• Alexsa Marie Solano
• Solidify Solutions Inc
• Dora Solis
• Maria D Solis, MS

• Medical Physician Assistant in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.