Individual provider Active NPI

Elty Chirolde Pimienta, APRN

  • Nurse Practitioner
  • North Bay Village, FL
National Provider Identifier
1205411071
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11028008 Issued in FL
Practice address
7540 Cutlass Ave
North Bay Village, FL 33141-4114
Phone
(786) 219-7035
NPI assigned
Mar 13, 2021
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028008 FL Primary
General Practice Physician 208D00000X NJDCATEMP-038698 NJ

Addresses

Primary practice location

7540 Cutlass Ave
North Bay Village, FL 33141-4114

Mailing address

7540 Cutlass Ave
North Bay Village, FL 33141-4114
Phone (786) 219-7035

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
I20231130001408 FL Practitioner - Nurse Practitioner 7719335827 Reassigns benefits to 3 organizations
Practice locations: North Bay Village, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ezra Medical LLCGroup PAC ID 1355787110, 4 clinicians

Practice addresses (Care Compare)

14680 SW 8TH St
Suite 208
Miami, FL 33184-3138
Phone (305) 305-7066

1780 Polk St
Suite D
Hollywood, FL 33020-4611
Phone (917) 509-2538

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJDCATEMP-038698NJMDGeneral Practice Physician
11028008FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maya Research Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Ezra Medical LLC CurrentSince Feb 5, 2024 Accepting new patients
All in One Care Solutions LLC General Practice CurrentSince Aug 8, 2024 Accepting new patients
Chirolde Health Solutions Corp Nurse Practitioner CurrentSince Nov 30, 2025 Accepting new patients
Fed Help Group Corp CurrentSince Aug 4, 2025 Accepting new patients

Locations

1780 Polk St
Ste D
Hollywood, FL 33020
Phone (917) 509-2538

14680 SW 8th St
Ste 208
Miami, FL 33184
Phone (305) 305-7066

14100 Palmetto Frntg Rd
Ste 110
Miami Lakes, FL 33016
Phone (305) 558-9344

16191 NW 57th Ave
Miami Lakes, FL 33014
Phone (786) 715-6243

Interoperability endpoints

  • Direct secure messaging: elty.chirolde.pimienta.1@4307.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1205411071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 CUTLASS AVE",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414114",
            "telephone_number": "786-219-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 CUTLASS AVE",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414114",
            "telephone_number": "786-219-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIROLDE PIMIENTA",
        "first_name": "ELTY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-13",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028008",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "NJDCATEMP-038698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

Verify at the official NPI Registry.