Individual provider Active NPI

Yudith Alonso, ARNP

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1609360767
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9293600 Issued in FL
Practice address
8040 NW 95TH St Ste 331-332
Miami Lakes, FL 33016-2362
Phone
(305) 819-1110
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 9293600 FL Primary

Addresses

Primary practice location

8040 NW 95TH St Ste 331-332
Miami Lakes, FL 33016-2362

Mailing address

1125 NW 128TH PL
Miami, FL 33182-2508
Phone (786) 499-7811

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
I20190919002143 FL Practitioner - Nurse Practitioner 6204166150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Endovascular and Interventional, LLCGroup PAC ID 4789922717, 6 clinicians

Practice addresses (Care Compare)

15600 NW 67TH Ave
Suite 101
Miami Lakes, FL 33014-2175
Phone (786) 534-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9293600FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Endovascular and Interventional LLC CurrentSince Feb 2, 2019 Accepting new patients
Preventive Health Inc Past Accepting new patients

Locations

9175 SW 87th Ave
Miami, FL 33176
Phone (305) 273-3830

15600 NW 67th Ave
Ste 101
Miami Lakes, FL 33014
Phone (786) 534-2555

447 NW 73rd Ave
Plantation, FL 33317
Phone (954) 583-7383

Interoperability endpoints

  • Direct secure messaging: vascularspineinst.yudithalonso@117088.advancedmd-direct.com

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1609360767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 128TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822508",
            "telephone_number": "786-499-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 NW 95TH ST STE 331-332",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330162362",
            "telephone_number": "305-819-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "YUDITH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9293600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.