Individual provider Active NPI

Jessica Belalcazar

  • Family Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1285198994
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9378747 Issued in FL
Practice address
6200 Sunset Dr Ste 301
South Miami, FL 33143-4829
Phone
(305) 669-9521
NPI assigned
Jan 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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 APRN9378747 FL Primary

Addresses

Primary practice location

6200 Sunset Dr Ste 301
South Miami, FL 33143-4829

Mailing address

8800 NW 36TH St Apt 4660
Doral, FL 33178-3496
Phone (305) 323-0935

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
I20190418000962 FL Practitioner - Nurse Practitioner 7517208671 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9378747FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Perinatal Medicine CurrentSince Feb 16, 2019 Accepting new patients

Locations

3107 Stirling Rd
Ste 106
Ft Lauderdale, FL 33312
Phone (305) 859-7809

777 E 25th St
Ste 402
Hialeah, FL 33013
Phone (305) 835-7909

925 NE 30th Ter
Ste 100
Homestead, FL 33033
Phone (305) 764-1791

11760 SW 40th St
Ste 329
Miami, FL 33175
Phone (305) 559-8519

1190 NW 95th St
Ste 204
Miami, FL 33150
Phone (305) 836-5053

4308 Alton Rd
Ste 730
Miami Beach, FL 33140
Phone (305) 403-1234

6200 Sunset Dr
Ste 301
South Miami, FL 33143
Phone (305) 669-9521

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": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1285198994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 NW 36TH ST APT 4660",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783496",
            "telephone_number": "305-323-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 301",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "305-669-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELALCAZAR",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9378747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.