Individual provider Active NPI

Cecilia Pernas, ARNP, FNP-C

  • Family Nurse Practitioner
  • Cooper City, FL
National Provider Identifier
1073943205
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 9170694 Issued in FL
Practice address
4722 Hibbs Grove Ter
Cooper City, FL 33330-4457
Phone
(954) 224-0465
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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 RN 9170694 FL Primary

Addresses

Primary practice location

4722 Hibbs Grove Ter
Cooper City, FL 33330-4457

Mailing address

4722 Hibbs Grove Ter
Cooper City, FL 33330-4457
Phone (954) 224-0465

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
I20150615002419 FL Practitioner - Nurse Practitioner 5890006035 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soffer Heart Institute PA CurrentSince Jan 21, 2015 Accepting new patients

Locations

2131 Hollywood Blvd
Ste 101
Hollywood, FL 33020
Phone 30527355114002

21550 Biscayne Blvd
Ste 133
Miami, FL 33180
Phone (305) 792-0555

2300 W 84th St
Ste 501
Miami Lakes, FL 33016
Phone (305) 273-5511

17170 Royal Palm Blvd
Weston, FL 33326
Phone (954) 349-3376

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.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1073943205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 HIBBS GROVE TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304457",
            "telephone_number": "954-224-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 HIBBS GROVE TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304457",
            "telephone_number": "954-224-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNAS",
        "first_name": "CECILIA",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN 9170694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

Verify at the official NPI Registry.