Individual provider Active NPI

Bertha Carrion, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1336422047
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9265855 Issued in FL
Practice address
13261 SW 209TH St
Miami, FL 33177-7502
Phone
(786) 278-1940
Fax
(305) 351-8788
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9265855 FL
Family Nurse Practitioner 363LF0000X ARNP9265855 FL Primary
Adult Health Nurse Practitioner 363LA2200X ARNP9265855 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9265855 FL
Pediatric Nurse Practitioner 363LP0200X ARNP9265855 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9265855 FL
Women's Health Nurse Practitioner 363LW0102X ARNP9265855 FL

Addresses

Primary practice location

13261 SW 209TH St
Miami, FL 33177-7502

Mailing address

13261 SW 209TH St
Miami, FL 33177-7502
Phone (786) 278-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9265855FLMDFamily Nurse Practitioner
ARNP9265855FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Clinician Offices LLC Family PastSince Nov 28, 2014 Accepting new patients

Organizations & group practices 1

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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1336422047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13261 SW 209TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777502",
            "telephone_number": "786-278-1940",
            "fax_number": "305-351-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13261 SW 209TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777502",
            "telephone_number": "786-278-1940",
            "fax_number": "305-351-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRION",
        "first_name": "BERTHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9265855",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9265855",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9265855",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9265855",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9265855",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9265855",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9265855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.