Individual provider Active NPI

Christina A Pumo, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1033358338
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9187101 Issued in FL
Practice address
1400 NW 12TH Ave
Miami, FL 33136-1003
Phone
(305) 689-5437
Fax
(305) 689-3985
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9187101 FL
Family Nurse Practitioner 363LF0000X APRN9187101 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave
Miami, FL 33136-1003

Mailing address

1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 689-5437

Other names 1

  • Christina P Hanabergh Former name

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
I20090407000277 FL Practitioner - Nurse Practitioner 6507913712 Reassigns benefits to 2 organizations
I20220104001149 TX Practitioner - Nurse Practitioner 6507913712 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9187101FLMDNurse Practitioner
APRN9187101FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jul 1, 2015 Accepting new patients
University of Miami Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
South Broward Hospital District CurrentSince Jul 1, 2015 Accepting new patients
University of Miami CurrentSince Jan 1, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
University of Miami Current Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

3700 Washington St
Ste 500
Hollywood, FL 33021
Phone (954) 962-0338

3501 Johnson St
Fl 3
Hollywood, FL 33021
Phone (954) 265-9976

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 243-2363

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

Interoperability endpoints

  • FHIR API: https://epicproxy.et0747.epichosted.com/APIProxyPRD/api/FHIR/R4/

Organizations & group practices 6

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": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1033358338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5437",
            "fax_number": "305-689-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5437",
            "fax_number": "305-689-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMO",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9187101",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9187101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HANABERGH",
            "middle_name": "P",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.