Ailette Maria Lopez Boudet, FNPBC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9400356 Issued in FL

Practice address

9365 Fontainebleau Blvd Apt E201
Miami, FL 33172-4643

Phone

(786) 518-5468

NPI assigned

Jul 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Value Healthcare Partners

  • Preferred Provider Organization
  • Miami, FL
  • NPI 1316763394
  Medicare reassignment NPD
• Ian Family Medicine Inc

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1063924876
  NPD (past)
• Tricord Medical Group Inc

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1467344424
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1043798176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 FONTAINEBLEAU BLVD APT E201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724643",
            "telephone_number": "786-518-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 FONTAINEBLEAU BLVD APT E201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724643",
            "telephone_number": "786-518-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BOUDET",
        "first_name": "AILETTE",
        "middle_name": "MARIA",
        "credential": "FNPBC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9400356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9400356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esperanza E Lopez Bermudez
• Jennifer Lopez Bermudez, RBT
• Jessica Lopez Bernal, RBT
• Rosa Lopez Betancourt
• Mayelin Lopez Blanco
• Yusimil Lopez Bridon
• Odalys Maria Lopez Brito
• Osniel Lopez Cabrera
• Vida Lopez Calderon
• Yanire Lopez Campos

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.