Individual provider Active NPI

Venante Isme Servalis, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1265894653
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9198815 Issued in FL
Practice address
7900 NW 27TH Ave Ste D10
Miami, FL 33147
Phone
(305) 403-4003
Fax
(305) 403-4006
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 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 ARNP9198815 FL Primary

Addresses

Primary practice location

7900 NW 27TH Ave Ste D10
Miami, FL 33147

Mailing address

5070 SW 163Rd Ave
Miramar, FL 33027-4953
Phone (954) 383-2824

Other practice location 1

9633 W Broward Blvd Ste 9
Plantation, FL 33324-2332
Phone (954) 616-5163

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
I20190111001808 FL Practitioner - Nurse Practitioner 5991041972 Reassigns benefits to 2 organizations

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
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

7900 NW 27TH Ave
Suite D10
Miami, FL 33147-4925
Phone (305) 403-4003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC CurrentSince Jun 13, 2023 Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Interamerican Medical Center Group LLC Current Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

3840 Coconut Creek Pkwy
Coconut Creek, FL 33066
Phone (954) 580-8867

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

7900 NW 27th Ave
Ste D10
Miami, FL 33147
Phone (305) 403-4003

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

15105 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 455-2737

Interoperability endpoints

  • Direct secure messaging: venante.servalis.p1@direct.caremax.nextgenshare.com

Organizations & group practices 4

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1265894653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 SW 163RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274953",
            "telephone_number": "954-383-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 27TH AVE STE D10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33147",
            "telephone_number": "305-403-4003",
            "fax_number": "305-403-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9633 W Broward Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242332",
            "country_code": "US",
            "telephone_number": "954-616-5163",
            "fax_number": "954-306-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERVALIS",
        "first_name": "VENANTE",
        "middle_name": "ISME",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9198815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.