Individual provider Active NPI

Sofia Miranda-Pasqualini

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1235799727
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002797 Issued in FL
Practice address
875 Meadows Rd Ste 323
Boca Raton, FL 33486-2349
Phone
(561) 788-7545
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 11002797 FL Primary

Addresses

Primary practice location

875 Meadows Rd Ste 323
Boca Raton, FL 33486-2349

Mailing address

5394 Grand Park PL
Boca Raton, FL 33486-1451
Phone (561) 213-9301

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sofia.mirandapasqualini@fcn.eclinicaldirectplus.com

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
I20190725001122 FL Practitioner - Nurse Practitioner 2365778537 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002797FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants of Boca Raton CurrentSince Feb 29, 2020 Accepting new patients
SMP Health, LLC CurrentSince Aug 4, 2024 Accepting new patients
Ezr Research PastSince Sep 24, 2023 Accepting new patients

Locations

951 NW 13th St
Boca Raton, FL 33486
Phone (561) 368-3455

951 NW 13th St
Ste 2E
Boca Raton, FL 33486
Phone (561) 368-3455

Interoperability endpoints

  • Direct secure messaging: sofia.mirandapasqualini@fcn.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1235799727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5394 GRAND PARK PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861451",
            "telephone_number": "561-213-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MEADOWS RD STE 323",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862349",
            "telephone_number": "561-788-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-PASQUALINI",
        "first_name": "SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sofia.mirandapasqualini@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "875 Meadows Rd Ste 323",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334862349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.