Individual provider Active NPI

Raisa Barros, APRN

  • Family Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1548828478
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002587 Issued in FL
Practice address
5975 Sunset Dr Ste 402
South Miami, FL 33143-5198
Phone
(305) 669-2833
Fax
(305) 669-2840
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002587 FL Primary

Addresses

Primary practice location

5975 Sunset Dr Ste 402
South Miami, FL 33143-5198

Mailing address

12210 SW 123Rd Pass
Miami, FL 33186-5469
Phone (305) 772-4242

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
I20210331001086 FL Practitioner - Nurse Practitioner 1355758715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Dec 31, 2020 Accepting new patients
Pedem PLLC Past Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1548828478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 SW 123RD PASS",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865469",
            "telephone_number": "305-772-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR STE 402",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435198",
            "telephone_number": "305-669-2833",
            "fax_number": "305-669-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROS",
        "first_name": "RAISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.