Individual provider Active NPI

Solange Mariel Bavuso, ARNP

  • Adult Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1285171983
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9234312 Issued in FL
Practice address
180 SW 84TH Ave Ste B
Plantation, FL 33324-2731
Phone
(844) 665-4827
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP 9234312 FL
Adult Health Nurse Practitioner 363LA2200X ARNP 9234312 FL Primary
Gerontology Nurse Practitioner 363LG0600X ARNP 9234312 FL

Addresses

Primary practice location

180 SW 84TH Ave Ste B
Plantation, FL 33324-2731

Mailing address

180 SW 84TH Ave Ste B
Plantation, FL 33324-2731
Phone (844) 665-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180522002111 FL Practitioner - Nurse Practitioner 6901161918 Reassigns benefits to 1 organization
I20260420002851 NJ Practitioner - Nurse Practitioner 6901161918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303

900 Haddon Ave
Collingswood, NJ 08108-2101
Phone (800) 423-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9234312FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Author Health Professionals, PC CurrentSince Feb 28, 2023 Accepting new patients

Locations

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

900 Haddon Ave
Ste 3049
Collingswood, NJ 08108

900 Haddon Ave
Collingswood, NJ 08108
Phone (609) 232-2945

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBJDD/Endpoint/EIBJDD
  • Direct secure messaging: solange.bavuso@521794035712004.direct.elationemr.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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1285171983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SW 84TH AVE STE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242731",
            "telephone_number": "844-665-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SW 84TH AVE STE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242731",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVUSO",
        "first_name": "SOLANGE",
        "middle_name": "MARIEL",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP 9234312",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9234312",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 9234312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.