Individual provider Active NPI

Mayney Gavilondo, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1326414814
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9213315 Issued in FL
Practice address
8900 N Kendall Dr
Miami Cancer Institute
Miami, FL 33176-2118
Phone
(786) 596-2000
Fax
(305) 279-7778
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9213315 FL
Nurse Practitioner 363L00000X APRN9213315 FL Primary

Addresses

Primary practice location

8900 N Kendall Dr
Miami Cancer Institute
Miami, FL 33176-2118

Mailing address

PO Box 743144
Atlanta, GA 30374-3144
Phone (786) 596-2000

Other identifiers 1

IdentifierTypeStateIssuer
019313800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mayneyg@cerner.directbaptisthealth.com

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
I20170103001437 FL Practitioner - Nurse Practitioner 6507147667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9213315FLMDNurse Practitioner
ARNP 9213315FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Oncology LLC CurrentSince Jul 8, 2019 Accepting new patients
Baptist Health Medical Group Oncology LLC CurrentSince Jul 8, 2019 Accepting new patients

Locations

3125 NW 84th Ave
Doral, FL 33122
Phone (305) 436-9196

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

9350 Sunset Dr
Ste 200
Miami, FL 33173

1228 S Pine Island Rd
Ste 410
Plantation, FL 33324
Phone (954) 837-1490

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1326414814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743144",
            "telephone_number": "786-596-2000",
            "fax_number": "305-279-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR",
            "address_2": "MIAMI CANCER INSTITUTE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762118",
            "telephone_number": "786-596-2000",
            "fax_number": "305-279-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVILONDO",
        "first_name": "MAYNEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9213315",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9213315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019313800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mayneyg@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "8900 N Kendall Dr",
            "address_2": "Miami Cancer Institute",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.