Individual provider Active NPI

Aida I Hechavarria

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1225409410
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9266626 Issued in FL
Practice address
8752 NW 110TH St
Hialeah Gardens, FL 33018-4509
Phone
(786) 306-1862
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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 9266626 FL Primary

Addresses

Primary practice location

8752 NW 110TH St
Hialeah Gardens, FL 33018-4509

Mailing address

8752 NW 110TH St
Hialeah Gardens, FL 33018-4509
Phone (786) 306-1862

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
I20160721000530 FL Practitioner - Nurse Practitioner 0143513655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C3 Wellness LLCGroup PAC ID 1355605502, 4 clinicians

Practice addresses (Care Compare)

395 Village Dr
Kissimmee, FL 34759-4012
Phone 40791491682

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9266626FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C3 Wellness, LLC CurrentSince Feb 11, 2025 Accepting new patients

Locations

395 Village Dr
Poinciana, FL 34759
Phone 4079149168 ext. 2

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1225409410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8752 NW 110TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184509",
            "telephone_number": "786-306-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 NW 110TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184509",
            "telephone_number": "786-306-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECHAVARRIA",
        "first_name": "AIDA",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9266626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.