Individual provider Active NPI

Steffi Fiallos, APRN

  • Family Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1184354409
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020109 Issued in FL
Practice address
611 SW 5TH CT
Hallandale Beach, FL 33009-6231
Phone
(305) 979-7860
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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 11020109 FL Primary

Addresses

Primary practice location

611 SW 5TH CT
Hallandale Beach, FL 33009-6231

Mailing address

611 SW 5TH CT
Hallandale Beach, FL 33009-6231
Phone (305) 979-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020109FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xpress Urgent Care, LLC. CurrentSince Jul 17, 2023 Accepting new patients
Dr GS Urgent Care LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

7229 W Oakland Park Blvd
Ste 101
Lauderhill, FL 33313
Phone (954) 824-2616

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1184354409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SW 5TH CT",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096231",
            "telephone_number": "305-979-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SW 5TH CT",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096231",
            "telephone_number": "305-979-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALLOS",
        "first_name": "STEFFI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.