Active NPI
Anna Villasuso, APRN
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1023700879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11023810
- Practice address
- 10521 SW 88TH St Ste E105
Miami, FL 33176-1554 - Phone
- (305) 934-8460
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN39479216 | FL | |
| Nurse Practitioner | 363L00000X | APRN11023810 | FL | Primary |
Addresses
Primary practice location
10521 SW 88TH St Ste E105
Miami, FL 33176-1554
Mailing address
11990 SW 118TH St
Miami, FL 33186-5110
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN39479216 | FL | MD | Registered Nurse |
| APRN11023810 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaia Grove Wellness | Current | Accepting new patients | |
| Physician Wound Associates, 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.
-
- Pediatric Nurse Practitioner
- Miami, FL
- NPI 1699649681
-
- Family Medicine Physician
- Palmetto Bay, FL
- NPI 1336400423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1023700879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 SW 118TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 SW 88TH ST STE E105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761554",
"telephone_number": "305-934-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASUSO",
"first_name": "ANNA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN39479216",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11023810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.