Lazara Medina

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11009978 Issued in FL

Practice address

11211 SW 152ND St
Miami, FL 33157-1101

Phone

(305) 255-1355

Fax

(305) 255-2015

NPI assigned

Dec 4, 2020

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Claremedica Viking LLC

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1992520118
  Medicare reassignment Care Compare group NPD
• South Dade Primary Care, LLC

  dba Claremedica Viking of North Florida

  • Family Medicine Physician
  • Miami, FL
  • NPI 1285748285
  Medicare reassignment Care Compare group NPD
• Senior Medical Associates LLC

  • Family Medicine Physician
  • Coral Springs, FL
  • NPI 1881358299
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1053916163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NW 114TH AVE APT 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724171",
            "telephone_number": "786-461-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571101",
            "telephone_number": "305-255-1355",
            "fax_number": "305-255-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S State Road 7",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330681734",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "fax_number": "305-834-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "LAZARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11009978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Medina
• Julio Medina
• Justin Anthony Medina, M.D.
• Karla Amanda Medina
• Kathya M Medina, PHARM. D.
• Lien Medina
• Lisandra Medina
• Lissette M Medina, PA-C
• Lourdes De la Caridad Medina
• Luis S Medina, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.