Individual provider Active NPI

Luannys Zade Quesada Carvajal, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1437796000
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11005142 Issued in FL
Practice address
4385 W 16TH Ave
Hialeah, FL 33012-7628
Phone
(305) 824-0637
Fax
(305) 824-0628
NPI assigned
Dec 3, 2019
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005142 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11005142 FL Primary

Addresses

Primary practice location

4385 W 16TH Ave
Hialeah, FL 33012-7628

Mailing address

4385 W 16TH Ave
Hialeah, FL 33012-7628
Phone (305) 824-0637

Other practice location 1

14400 NW 77th Ct
Miami Lakes, FL 33016-1589
Phone (305) 746-2064

Other identifiers 1

IdentifierTypeStateIssuer
APRN11005142OtherFLMEDICAL LICENSE

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
I20200109000869 FL Practitioner - Nurse Practitioner 2769817337 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

14400 NW 77TH CT
Suite 100
Miami Lakes, FL 33016-1590
Phone (786) 916-6073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005142FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Recovery & Counseling LLC CurrentSince May 25, 2024 Accepting new patients
Healing Touch C&C Inc CurrentSince Dec 1, 2019 Accepting new patients
Advanced Recovery & Counseling LLC CurrentSince May 25, 2024 Accepting new patients

Locations

4385 W 16th Ave
Hialeah, FL 33012
Phone (305) 824-0637

14400 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 916-6073

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1437796000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-824-0637",
            "fax_number": "305-824-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-824-0637",
            "fax_number": "305-824-0628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14400 NW 77th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161589",
            "country_code": "US",
            "telephone_number": "305-746-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUESADA CARVAJAL",
        "first_name": "LUANNYS",
        "middle_name": "ZADE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005142",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11005142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN11005142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.