Individual provider Active NPI

Frantisev Zambrana Colls

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1093114928
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025307 Issued in FL
Practice address
14732 SW 56TH St
Miami, FL 33185-4041
Phone
(786) 668-6396
Fax
(786) 513-6136
NPI assigned
Aug 15, 2014
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11025307 FL Primary
Primary Care Nurse Practitioner 363LP2300X APRN11025307 FL
Registered Nurse 163W00000X 9268724 FL

Addresses

Primary practice location

14732 SW 56TH St
Miami, FL 33185-4041

Mailing address

6423 SW 162ND Ave
Miami, FL 33193-5833
Phone (786) 246-8739

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
I20230801001686 FL Practitioner - Nurse Practitioner 0840354270 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9268724FLMDRegistered Nurse
APRN11025307FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FDG Home Health Agency, Inc. Current Accepting new patients
City Care Doctors Inc CurrentSince May 9, 2023 Accepting new patients

Locations

14732 SW 56th St
Miami, FL 33185
Phone (786) 668-6396

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1093114928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 SW 162ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935833",
            "telephone_number": "786-246-8739",
            "fax_number": "786-513-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854041",
            "telephone_number": "786-668-6396",
            "fax_number": "786-513-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANA COLLS",
        "first_name": "FRANTISEV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025307",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11025307",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9268724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.