Carissa Dobert, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11004854 Issued in FL

Practice address

6129 SW 70TH St
South Miami, FL 33143-3451

Phone

(786) 871-6800

Fax

(786) 871-6801

NPI assigned

Nov 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Univ of Central Florida, College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Miami Neuroscience Center LLCGroup PAC ID 6901064112, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Larkin Community Hospital Hospital, South Miami, FL, CCN 100181

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Miami Neuroscience Center LLC

  • Neurological Surgery Physician
  • South Miami, FL
  • NPI 1073894101
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Larkin Community Hospital Inc

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1952311243
  Care Compare affiliation

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1508400557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 SW 187TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577964",
            "telephone_number": "305-767-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 SW 70TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433451",
            "telephone_number": "786-871-6800",
            "fax_number": "786-871-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBERT",
        "first_name": "CARISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Jesus Diaz, MD
• Marisel Diaz
• Yamilet Diaz, ARNP
• Ashley Diep-Lam
• Angelica Jean Dilorenzo, MD
• Cynthia Domingo
• Allyson Leigh Dominguez, MS MHC
• Kristin Dominguez
• Dominique Farinas Aprn Inc
• Amr Donya

• Nurse Practitioner in South Miami, FL
• Providers in South Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.

Verify at the official NPI Registry.