Individual provider Active NPI

Lina Marcela Salazar, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1043714892
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9385357 Issued in FL
Practice address
10095 N Kendall Dr Ste 103
Miami, FL 33176-1797
Phone
(786) 504-0904
Fax
(786) 504-0899
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 9385357 FL Primary

Addresses

Primary practice location

10095 N Kendall Dr Ste 103
Miami, FL 33176-1797

Mailing address

PO Box 430885
South Miami, FL 33243-0885
Phone (786) 456-4107

Other practice location 1

925 NE 30th Ter Ste 318
Homestead, FL 33033-7602
Phone (786) 504-0904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200226002097 FL Practitioner - Nurse Practitioner 7214364512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Neurological Surgery LLPGroup PAC ID 8325114986, 6 clinicians

Practice addresses (Care Compare)

10095 SW 88TH St
Miami, FL 33176-1797
Phone (786) 456-4107

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

925 NE 30TH Ter
318 Maximiliano Velasco MD
Homestead, FL 33033-7602
Phone (786) 456-4107

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9385357FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Neurological Surgery LLP CurrentSince Apr 1, 2020 Accepting new patients

Locations

925 NE 30th Ter
Ste 318
Homestead, FL 33033
Phone (305) 595-4041

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

10095 SW 88th St
Ste 103
Miami, FL 33176
Phone (305) 274-4351

Organizations & group practices 1

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 1

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1043714892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430885",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332430885",
            "telephone_number": "786-456-4107",
            "fax_number": "786-376-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 N KENDALL DR STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761797",
            "telephone_number": "786-504-0904",
            "fax_number": "786-504-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 NE 30th Ter Ste 318",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337602",
            "country_code": "US",
            "telephone_number": "786-504-0904",
            "fax_number": "786-504-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "LINA",
        "middle_name": "MARCELA",
        "name_prefix": "Ms.",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9385357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.