Individual provider Active NPI

Anixia De Los Angeles Benavides Martinez

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1205691342
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029095 Issued in FL
Practice address
3014 SW 22ND St
Coral Gables, FL 33145-3208
Phone
(305) 529-9975
NPI assigned
Feb 19, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 APRN11029095 FL Primary

Addresses

Primary practice location

3014 SW 22ND St
Coral Gables, FL 33145-3208

Mailing address

3014 Coral Way # Cu7
Miami, FL 33145-3208

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
I20241127004298 FL Practitioner - Nurse Practitioner 2860927878 Reassigns benefits to 1 organization
Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029095FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Survivors Pathway Corporation CurrentSince Dec 4, 2025 Accepting new patients

Locations

33 SW 2nd Ave
Ste 901
Miami, FL 33130
Phone (786) 275-4364

Interoperability endpoints

  • Direct secure messaging: anixia.benavides.1@30837.direct.athenahealth.com

Organizations & group practices 1

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1205691342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 CORAL WAY # CU7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 SW 22ND ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453208",
            "telephone_number": "305-529-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES MARTINEZ",
        "first_name": "ANIXIA",
        "middle_name": "DE LOS ANGELES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.