Individual provider Active NPI

Beatriz Calero Morales

  • Nurse Practitioner
  • Port Richey, FL
National Provider Identifier
1336816610
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11027331 Issued in FL
Practice address
8135 Redfield Dr
Port Richey, FL 34668-4248
Phone
(786) 616-5467
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Nurse Practitioner 363L00000X 11027331 FL Primary

Addresses

Primary practice location

8135 Redfield Dr
Port Richey, FL 34668-4248

Mailing address

8135 Redfield Dr
Port Richey, FL 34668-4248
Phone (786) 616-5467

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
I20230920000474 FL Practitioner - Nurse Practitioner 0840653051 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027331FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nodal Medical Center LLC CurrentSince Jul 6, 2023 Accepting new patients

Locations

11031 US Highway 19
Ste 102
Port Richey, FL 34668
Phone (727) 819-1610

2123 W Mlk Blvd
Ste 101
Tampa, FL 33607
Phone (813) 405-4385

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1336816610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 REDFIELD DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684248",
            "telephone_number": "786-616-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 REDFIELD DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684248",
            "telephone_number": "786-616-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO MORALES",
        "first_name": "BEATRIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11027331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.