Individual provider Active NPI

Carmen Julia Echizarraga, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1417433624
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06182345 Issued in FL
Practice address
3401 SW 129TH Ave
Miami, FL 33175-2719
Phone
(786) 768-5801
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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 F06182345 FL Primary

Addresses

Primary practice location

3401 SW 129TH Ave
Miami, FL 33175-2719

Mailing address

3401 SW 129TH Ave
Miami, FL 33175-2719
Phone (786) 768-5801

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
I20190205000885 FL Practitioner - Nurse Practitioner 3577801281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2424 SW 137TH Ave
Miami, FL 33175-6311
Phone (786) 768-5801

Hospital & facility affiliations

  • Oryol Home Health, LLC Home health agency, Doral, FL, CCN 687082
  • Patient'S Care First, LLC Home health agency, Miami, FL, CCN 687089
  • Alpha Home Health Agency Corp Home health agency, Miami, FL, CCN 109239
  • HCBC of Miami Inc Home health agency, Doral, FL, CCN 687077
  • G.a. Home Health Care Corp. Home health agency, Coral Gables, FL, CCN 687125

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06182345FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Health Community Centers Inc CurrentSince Mar 1, 2021 Accepting new patients
Miami Health Mental Community Centers Inc CurrentSince Jun 14, 2021 Accepting new patients

Locations

2424 SW 137th Ave
Miami, FL 33175
Phone (786) 380-8375

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.

Hospital & facility affiliations 5

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1417433624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752719",
            "telephone_number": "786-768-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752719",
            "telephone_number": "786-768-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHIZARRAGA",
        "first_name": "CARMEN",
        "middle_name": "JULIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F06182345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.