Individual provider Active NPI

Carmen Rosa Amador, NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1144855388
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006428 Issued in FL
Practice address
411 SW 27TH Ave # 200
Miami, FL 33135-2903
Phone
(786) 286-0657
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 APRN11006428 FL Primary

Addresses

Primary practice location

411 SW 27TH Ave # 200
Miami, FL 33135-2903

Mailing address

29487 SW 144TH Ave
Homestead, FL 33033-2977
Phone (786) 286-0657

Other practice location 1

29487 SW 144th Ave
Homestead, FL 33033-2977
Phone (786) 286-0657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625000045 FL Practitioner - Nurse Practitioner 4183046808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006428FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1144855388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29487 SW 144TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332977",
            "telephone_number": "786-286-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SW 27TH AVE # 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352903",
            "telephone_number": "786-286-0657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29487 SW 144th Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330332977",
            "country_code": "US",
            "telephone_number": "786-286-0657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "CARMEN",
        "middle_name": "ROSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.