Individual provider Active NPI

Steven Nieto, ARNP

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1225669823
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005320 Issued in FL
Practice address
3264 Pacific Dr
Naples, FL 34119-8672
Phone
(239) 200-5947
NPI assigned
Feb 1, 2020
Last updated
Feb 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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 11005320 FL Primary

Addresses

Primary practice location

3264 Pacific Dr
Naples, FL 34119-8672

Mailing address

3264 Pacific Dr
Naples, FL 34119-8672

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
I20200325002126 FL Practitioner - Nurse Practitioner 9739517798 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005320FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Inpatient Partners LLC CurrentSince Apr 1, 2020 Accepting new patients
Mycare Clinic PastSince Mar 1, 2013 Accepting new patients

Locations

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/7973/brand/1/csg/1/fhir/r4

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": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1225669823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 PACIFIC DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 PACIFIC DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198672",
            "telephone_number": "239-200-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "STEVEN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.