Individual provider Active NPI

Lizabet Teresa Azzaretto, APRN, AG-ACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Miami, FL
National Provider Identifier
1134737810
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
APRN11008162 Issued in FL
Practice address
8600 SW 92ND St Ste 204B
Miami, FL 33156-7377
Phone
(305) 661-9404
NPI assigned
Jul 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11008162 FL
Acute Care Nurse Practitioner 363LA2100X APRN11008162 FL
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11008162 FL Primary

Addresses

Primary practice location

8600 SW 92ND St Ste 204B
Miami, FL 33156-7377

Mailing address

4657 SW 129TH Ave
Miami, FL 33175-4531
Phone (786) 250-7383

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
I20210302000669 FL Practitioner - Nurse Practitioner 3476969346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008162FLMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC Acute Care CurrentSince Mar 10, 2024 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Mar 10, 2024 Accepting new patients
Pulmonary Physicians of South Florida LLC PastSince Jul 27, 2020 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

Organizations & group practices 3

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1134737810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 SW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754531",
            "telephone_number": "786-250-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST STE 204B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-661-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZARETTO",
        "first_name": "LIZABET",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "APRN, AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008162",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11008162",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11008162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.