Individual provider Active NPI

Maria Y Carracedo-Sanchez

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1245640697
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3034582 Issued in FL
Practice address
777 E 25TH St Ste 409
Hialeah, FL 33013-3835
Phone
(305) 308-7321
Fax
(305) 681-0829
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3034582 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 409
Hialeah, FL 33013-3835

Mailing address

621 E 48TH St
Hialeah, FL 33013-1957
Phone (305) 308-7321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3034582FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Y. Carracedo-Sanchez Psychiatric/Mental Health PastSince Jul 1, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maria.carracedo-sanchez.1@26692.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1245640697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E 48TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131957",
            "telephone_number": "305-308-7321",
            "fax_number": "305-681-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 409",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-308-7321",
            "fax_number": "305-681-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRACEDO-SANCHEZ",
        "first_name": "MARIA",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "3034582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.