Tania Y Pavon, FNP, WCS, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11034509 Issued in FL

Practice address

11210 SW 40TH St
Miami, FL 33165-4419

Phone

(786) 655-1019

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nova Medical Services - Wound Care Division LLC

  dba NWC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1578145793
  Medicare reassignment

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1588495774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654419",
            "telephone_number": "786-655-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654419",
            "telephone_number": "786-655-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVON",
        "first_name": "TANIA",
        "middle_name": "Y",
        "credential": "FNP, WCS, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enny Pavon Tamayo
• Helen Pavon-Pozo, DMD
• Chiara Pavon, MD
• Jose Angel Pavon
• Lorely Clara Pavon, APRN-BC
• Regina M Pavone, PH.D.
• Claudia Pavoni Perez
• Michell Pavoni, LMT
• Vilma Pavoni
• Bozena Pawelek, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.