Individual provider Active NPI

Nanette S Garavito, PA-C

  • Physician Assistant
  • Palmetto Bay, FL
National Provider Identifier
1285813972
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104391 Issued in FL
Practice address
9275 SW 152ND St
101
Palmetto Bay, FL 33157-1701
Phone
(305) 253-8869
Fax
(305) 233-9726
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104391 FL Primary

Addresses

Primary practice location

9275 SW 152ND St
101
Palmetto Bay, FL 33157-1701

Mailing address

9767 SW 106TH Ter
Miami, FL 33176-2848
Phone (305) 412-6312

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
I20151110003024 FL Practitioner - Physician Assistant 5193035756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104391FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Oncology LLC CurrentSince Nov 3, 2015 Accepting new patients
Baptist Health Medical Group Oncology LLC CurrentSince Nov 3, 2015 Accepting new patients
Elias a M Feanny MD PA PastSince Jun 14, 2011 Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1285813972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9767 SW 106TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762848",
            "telephone_number": "305-412-6312",
            "fax_number": "305-412-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "101",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-253-8869",
            "fax_number": "305-233-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAVITO",
        "first_name": "NANETTE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.