Individual provider Active NPI

Marcela Alvarez-Lazo, PMHNP-BC, AGACNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1477095305
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9311032 Issued in FL
Practice address
1120 NW 14TH St
Miami, FL 33136-2107
Phone
(305) 243-4000
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X ARNP9311032 FL
Acute Care Nurse Practitioner 363LA2100X ARNP9311032 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9311032 FL Primary

Addresses

Primary practice location

1120 NW 14TH St
Miami, FL 33136-2107

Mailing address

7600 Alico Rd Unit 12-26
Fort Myers, FL 33912-6064
Phone (305) 801-0080

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
I20170623000603 FL Practitioner - Nurse Practitioner 4183992779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Lawrence Mental Health Center, IncGroup PAC ID 0547257313, 32 clinicians

Practice addresses (Care Compare)

6075 Bathey LN
Naples, FL 34116-7536
Phone (239) 455-8500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Lawrence Mental Health Center, Inc CurrentSince Sep 30, 2022 Accepting new patients
Courageous Living Mental Health Consultants, LLC. Psychiatric/Mental Health Current Accepting new patients

Locations

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

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.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1477095305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 ALICO RD UNIT 12-26",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339126064",
            "telephone_number": "305-801-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107",
            "telephone_number": "305-243-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-LAZO",
        "first_name": "MARCELA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2023-01-31",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "ARNP9311032",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9311032",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9311032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.