Active NPI
Carmen Morales, ARNP
- Family Nurse Practitioner
- Homestead, FL
National Provider Identifier
1538620463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11001856
- Practice address
- 12803 SW 280TH St
Homestead, FL 33032-8552 - Phone
- (786) 504-3022
- Fax
- (786) 504-3092
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11001856 | FL | Primary |
| Nurse Practitioner | 363L00000X | APRN11001856 | FL |
Addresses
Primary practice location
12803 SW 280TH St
Homestead, FL 33032-8552
Mailing address
20753 SW 128TH CT
Miami, FL 33177-5518
Phone (305) 397-4283
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001856 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Wellness Center of Miami Inc | Single Specialty | Current | Accepting new patients |
Locations
1671 W 37th St
Ste 4
Hialeah, FL 33012
Phone (305) 362-4594
759 NW 22nd Ave
Miami, FL 33125
Phone (305) 541-5245
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.
-
- Family Medicine Physician
- Homestead, FL
- NPI 1588336051
-
- Family Medicine Physician
- Miami, FL
- NPI 1932504370
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1538620463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20753 SW 128TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331775518",
"telephone_number": "305-397-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12803 SW 280TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330328552",
"telephone_number": "786-504-3022",
"fax_number": "786-504-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "CARMEN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11001856",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11001856",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.