Individual provider Active NPI

Raquel Rosario Fanella, APRN

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1487366852
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11022987 Issued in FL
Practice address
351 N Lejeune Rd Ste 308
Miami, FL 33126-5688
Phone
(305) 994-1825
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11022987 FL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X APRN11022987 FL

Addresses

Primary practice location

351 N Lejeune Rd Ste 308
Miami, FL 33126-5688

Mailing address

11030 N Kendall Dr Ste 100
Miami, FL 33176-8814
Phone (305) 994-1825

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
I20231129003000 FL Practitioner - Nurse Practitioner 9436507589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Medicine Specialists of South Florida PAGroup PAC ID 6901048743, 6 clinicians

Practice addresses (Care Compare)

351 N Lejeune Rd
Suite 308
Miami, FL 33126-5688
Phone (305) 994-1825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Medicine Specialists of South Florida PA Sleep Medicine CurrentSince Oct 28, 2023 Accepting new patients

Locations

351 NW Le Jeune Rd
Ste 308
Miami, FL 33126
Phone (305) 817-5402

11030 SW 88th St
Ste 100
Miami, FL 33176
Phone (305) 994-1825

1350 SW 57th Ave
Ste 210
West Miami, FL 33144
Phone (305) 441-0744

Interoperability endpoints

  • Direct secure messaging: raquel.sandigo.1@16434.direct.athenahealth.com

Organizations & group practices 1

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1487366852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 N KENDALL DR STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768814",
            "telephone_number": "305-994-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N LEJEUNE RD STE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265688",
            "telephone_number": "305-994-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANELLA",
        "first_name": "RAQUEL",
        "middle_name": "ROSARIO",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11022987",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "APRN11022987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.