Individual provider Active NPI

Momina Karapetyan, RPH

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1285917690
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031983 Issued in FL
Practice address
23192 L Ermitage Cir
Boca Raton, FL 33433-7153
Phone
(561) 221-3553
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS31663 FL
Family Nurse Practitioner 363LF0000X APRN11031983 FL Primary

Addresses

Primary practice location

23192 L Ermitage Cir
Boca Raton, FL 33433-7153

Mailing address

23192 L Ermitage Cir
Boca Raton, FL 33433-7153
Phone (561) 221-3553

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
I20241216001242 FL Practitioner - Nurse Practitioner 8022549542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS31663FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Zenacare Corp CurrentSince Nov 1, 2024 Accepting new patients
Great Health Clinic, LLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

16800 NW 2nd Ave
Ste 306A
North Miami Beach, FL 33169
Phone (754) 255-1500

Organizations & group practices 2

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1285917690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23192 L ERMITAGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337153",
            "telephone_number": "561-221-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23192 L ERMITAGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337153",
            "telephone_number": "561-221-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAPETYAN",
        "first_name": "MOMINA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2024-09-10",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.