Active NPI
Lisamary Calderin
- Home Health Aide
- Miami, FL
National Provider Identifier
1578156253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- IN-436-44-467
- Practice address
- 6725 SW 136TH CT
Miami, FL 33183-2346 - Phone
- (786) 282-2068
- NPI assigned
- Feb 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | IN-436-44-467 | FL | Primary |
Addresses
Primary practice location
6725 SW 136TH CT
Miami, FL 33183-2346
Mailing address
6725 SW 136TH CT
Miami, FL 33183-2346
Phone (786) 282-2068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C436-520-96-595-0 | Other | FL | ID LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613260800000",
"number": "1578156253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6725 SW 136TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832346",
"telephone_number": "786-282-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6725 SW 136TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832346",
"telephone_number": "786-282-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERIN",
"first_name": "LISAMARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-14",
"last_updated": "2021-02-14",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "IN-436-44-467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID LICENSE",
"identifier": "C436-520-96-595-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.