Aidsha Vazquez, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Harmony, FL
NPI 1194215087 · NPPES record last updated May 16, 2018
Key facts
- NPI
- 1194215087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- ARNP9339887 (FL)
- Practice address
- 6939 Cupseed LN
Harmony, FL 34773-6052 - Phone
- (407) 761-8346
- NPI assigned
- May 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brave Health Inc.
Practice addresses (Care Compare)
13934 Painted Bunting LN
Riverview, FL 33579-3525
Phone (305) 902-6347
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190205000319 | FL | Practitioner - Nurse Practitioner | 2062750763 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9339887 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Mindset Counseling Services LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Brave Health Inc. | Current |
Accepting new patients |
Locations
1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749
7157 Narcoossee Rd
Orlando, FL 32822
Phone (321) 718-8008
1417 Hamlin Ave
Unit G
Saint Cloud, FL 34771
Phone (407) 346-1466
Interoperability endpoints
- aidsha.vazquez.1@23300.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9339887 | FL | Yes |
Addresses
Primary practice location
6939 Cupseed LN
Harmony, FL 34773-6052
Mailing address
6939 Cupseed LN
Harmony, FL 34773-6052
Phone (407) 761-8346
Other providers in Harmony, FL
- Suehailey Ann Rodriguez
- Courtney Shiflett
- Shining Stars Therapy Inc.
- Yalitza Soto Soto
- Lai Yen Suarez
- Duait Vega Malagon
- Christine Von Wernich
- VSV Clinical Lab LLC
- Theresa Lynn Wayer
- Tamela S Winslow
All providers in Harmony, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.