Individual provider Active NPI

Jaqueline Baluja Soledad, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366085144
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004642 Issued in FL
Practice address
16264 SW 97TH St
Miami, FL 33196-5944
Phone
(786) 587-6298
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004642 FL Primary

Addresses

Primary practice location

16264 SW 97TH St
Miami, FL 33196-5944

Mailing address

16264 SW 97TH St
Miami, FL 33196-5944

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
I20200529000007 FL Practitioner - Nurse Practitioner 1951722925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

9380 SW 150TH St
Miami, FL 33176-7947
Phone (305) 256-5018

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 22, 2020 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 22, 2020 Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

7887 N Kendall Dr
Ste 225
Miami, FL 33156
Phone (305) 663-8877

15155 SW 97th Ave
Ste 200
Miami, FL 33176
Phone (305) 256-4334

9195 Sunset Dr
Ste 230
Miami, FL 33173
Phone (305) 271-0300

Networks

  • Freedom Health HMO Network
  • HealthSun Health Plans Network

Organizations & group practices 3

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1366085144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16264 SW 97TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16264 SW 97TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965944",
            "telephone_number": "786-587-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUJA SOLEDAD",
        "first_name": "JAQUELINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.