Individual provider Active NPI

Janisset Basulto, FNP, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1083233571
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006727 Issued in FL
Practice address
20051 NW 77TH CT
Hialeah, FL 33015-6419
Phone
(786) 797-7134
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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 11006727 FL Primary

Addresses

Primary practice location

20051 NW 77TH CT
Hialeah, FL 33015-6419

Mailing address

20051 NW 77TH CT
Hialeah, FL 33015-6419
Phone (786) 797-7134

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
I20230118000406 FL Practitioner - Nurse Practitioner 6204207970 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L.S.L Medical Center, IncGroup PAC ID 6305079815, 5 clinicians

Practice addresses (Care Compare)

4640 W Flagler St
Coral Gables, FL 33134-1513
Phone (305) 443-8229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006727FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L.S.L Medical Center, Inc Family CurrentSince Aug 10, 2025 Accepting new patients
Jbasulto Health Care LLC Family CurrentSince Nov 27, 2024 Accepting new patients

Locations

4640 W Flagler St
Coral Gables, FL 33134
Phone (305) 443-8229

2097 W 76th St
Hialeah, FL 33016
Phone (305) 333-2975

Organizations & group practices 2

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1083233571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20051 NW 77TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156419",
            "telephone_number": "786-797-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20051 NW 77TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156419",
            "telephone_number": "786-797-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASULTO",
        "first_name": "JANISSET",
        "credential": "FNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.