Mailet Merino Fornaris, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11014145 Issued in FL

Practice address

6408 Mornay Dr
Tampa, FL 33615-3426

Phone

(786) 532-8078

NPI assigned

Jul 7, 2021

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_mmerino3@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roa Wound Care Corp

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1770453318
  NPD Authorized official
• Kenneth M Mattos Ap LLC

  dba Mattos Medical Group

  • Acupuncturist
  • Tampa, FL
  • NPI 1740523901
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1306417670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 MORNAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153426",
            "telephone_number": "786-532-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 MORNAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153426",
            "telephone_number": "786-532-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO FORNARIS",
        "first_name": "MAILET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laveena A Meriga, DNP, AGACNP-BC, APRN
• Shanice Merilus
• Diane S. Merin, MS CCC-SLP
• Jeffrey Michael Merin, PH.D.
• Matthew Merine
• Jorge Merino-Devillasante, M.D.
• Deborah Merino
• Frances M Merino
• Ronald Merino, MD
• Meris Health, Inc

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.