Individual provider Active NPI

Nizme Yalilly Meza-Ruiz, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1083069769
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9334606 Issued in FL
Practice address
9772 NW 10TH Ter
Miami, FL 33172-5739
Phone
(786) 200-2353
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 ARNP9334606 FL Primary

Addresses

Primary practice location

9772 NW 10TH Ter
Miami, FL 33172-5739

Mailing address

9772 NW 10TH Ter
Miami, FL 33172-5739
Phone (786) 200-2353

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
I20170106001224 FL Practitioner - Nurse Practitioner 2668753583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ricardo O Calonge MD PAGroup PAC ID 9032438882, 3 clinicians

Practice addresses (Care Compare)

3661 S Miami Ave
Suite 401
Miami, FL 33133-4230
Phone (305) 856-9771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9334606FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo O. Calonge, MD PA CurrentSince Jul 27, 2016 Accepting new patients

Locations

3661 S Miami Ave
Miami, FL 33133
Phone (305) 285-2977

3661 S Miami Ave
Ste 401
Miami, FL 33133
Phone (305) 854-4334

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1083069769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9772 NW 10TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725739",
            "telephone_number": "786-200-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9772 NW 10TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725739",
            "telephone_number": "786-200-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA-RUIZ",
        "first_name": "NIZME",
        "middle_name": "YALILLY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9334606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.