Individual provider Active NPI

Vanessa Collazo, MSN, ACNP-BC

  • Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1336446228
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9181322 Issued in FL
Practice address
6200 SW 72ND St Ste 502
South Miami, FL 33143-4830
Phone
(305) 271-9777
Fax
(786) 533-9450
NPI assigned
Feb 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9181322 FL
Nurse Practitioner 363L00000X ARNP9181322 FL Primary

Addresses

Primary practice location

6200 SW 72ND St Ste 502
South Miami, FL 33143-4830

Mailing address

PO Box 198054
Atlanta, GA 30384-3144
Phone (786) 594-6880

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
I20110916000409 FL Practitioner - Nurse Practitioner 1557371655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

6200 SW 72ND St
502 BHMG General Surgery
South Miami, FL 33143-4830
Phone (305) 271-9777

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9181322FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of South Florida LLC CurrentSince Dec 1, 2022 Accepting new patients
Baptist Health Medical Group Oncology LLC CurrentSince Oct 19, 2020 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Feb 28, 2022 Accepting new patients
Baptist Health Medical Group Oncology LLC CurrentSince Oct 19, 2020 Accepting new patients
Joseph Zebede MD PA Past Accepting new patients

Locations

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

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

4300 Alton Rd
Ste 2030
Miami Beach, FL 33140
Phone (305) 674-6770

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

6200 Sunset Dr
Ste 502
South Miami, FL 33143
Phone (305) 430-6969

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1336446228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843144",
            "telephone_number": "786-594-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 72ND ST STE 502",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434830",
            "telephone_number": "305-271-9777",
            "fax_number": "786-533-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9181322",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9181322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.