Individual provider Active NPI

Lizet Lopez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1215485354
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9260892 Issued in FL
Practice address
14462 SW 22ND Ter
Miami, FL 33175-6328
Phone
(305) 219-8606
NPI assigned
Sep 19, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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 ARNP 9260892 FL Primary

Addresses

Primary practice location

14462 SW 22ND Ter
Miami, FL 33175-6328

Mailing address

14462 SW 22ND Ter
Miami, FL 33175-6328
Phone (305) 219-8606

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
I20201118001226 FL Practitioner - Nurse Practitioner 9931487857 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14255 SW 42ND St
Suite 13B
Miami, FL 33175-6408
Phone (305) 219-8606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9260892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S & L Healthy Corp CurrentSince May 5, 2021 Accepting new patients
Callisia Health Group Inc CurrentSince Jan 4, 2024 Accepting new patients

Locations

11430 N Kendall Dr
Ste D309
Miami, FL 33176
Phone (305) 898-0849

11440 SW 88th St
Ste 208
Miami, FL 33176
Phone (305) 279-5535

14255 SW 42nd St
Ste 13B
Miami, FL 33175
Phone (305) 219-8606

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": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1215485354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14462 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756328",
            "telephone_number": "305-219-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14462 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756328",
            "telephone_number": "305-219-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LIZET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9260892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.