Active NPI
Suany Pichardo
- Gerontology Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11016498
- Practice address
- 3022 SW 17TH St
Miami, FL 33145-1910 - Phone
- (786) 290-5676
- NPI assigned
- Aug 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9454116 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11016498 | FL | Primary |
Addresses
Primary practice location
3022 SW 17TH St
Miami, FL 33145-1910
Mailing address
3022 SW 17TH St
Miami, FL 33145-1910
Phone (786) 290-5676
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9408 SW 87 Ave
Miami, FL 33176-2416
Phone (305) 913-0666
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9454116 | FL | MD | Registered Nurse |
| APRN11016498 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health LLC | Current | Accepting new patients | |
| Gastro Health, LLC | Current | Accepting new patients | |
| Galloway Anesthesia Associates LLC | Past | Accepting new patients |
Locations
4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700
15955 SW 96th St
Ste 307
Miami, FL 33196
Phone (305) 468-4191
9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820
9408 SW 87th Ave
Ste 200
Miami, FL 33176
Phone 3054684190 ext. 5003
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366
Interoperability endpoints
- suany.pichardo@gastrohealth.eclinicaldirectplus.com
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.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1457028953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 SW 17TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331451910",
"telephone_number": "786-290-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 SW 17TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331451910",
"telephone_number": "786-290-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHARDO",
"first_name": "SUANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9454116",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11016498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.