Individual provider Active NPI

Janeth Carrasco Pardo, MS-FNP

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1043891773
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012615 Issued in FL
Practice address
6400 NW 114TH Ave Apt 1135
Doral, FL 33178-4575
Phone
(786) 768-1319
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 APRN11012615 FL Primary

Addresses

Primary practice location

6400 NW 114TH Ave Apt 1135
Doral, FL 33178-4575

Mailing address

6400 NW 114TH Ave Apt 1135
Doral, FL 33178-4575
Phone (786) 768-1319

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janeth50021@hotmail.com Direct

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

LicenseStateTypeSpecialty
APRN11012615FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1043891773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 NW 114TH AVE APT 1135",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784575",
            "telephone_number": "786-768-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 NW 114TH AVE APT 1135",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784575",
            "telephone_number": "786-768-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO PARDO",
        "first_name": "JANETH",
        "credential": "MS-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janeth50021@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6400 NW 114th Ave Apt 1135",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331784575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.