Lizzy Coral Fuentes, CNM
Individual provider Active NPI Advanced Practice Midwife · Rogers, CT
NPI 1306645080 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1306645080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- APRN11038592 (FL)
- Practice address
- 163 State Ave
Rogers, CT 06263 - Phone
- (401) 500-0880
- NPI assigned
- Mar 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Interoperability endpoints
- lizzy.fuentes.1@15759.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN11038592 | FL | Yes |
Addresses
Primary practice location
163 State Ave
Rogers, CT 06263
Mailing address
PO Box 65
Rogers, CT 06263-0065
Phone (401) 500-0880
Other practice location 1
3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.