Traci Marie Miramontes, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11008757 Issued in FL

Practice address

6038 W Nordling Loop
Crystal River, FL 34429-8715

Phone

(501) 520-9972

NPI assigned

Jun 30, 2020

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Internal Medicine & Pediatrics Wellness Center

  • Internal Medicine Physician
  • Crystal River, FL
  • NPI 1992825145

  Multi-Specialty

  Medicare reassignment NPD
• Quality Healthcare Services PLLC

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1184194334
  Medicare reassignment
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1609493279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST",
            "address_2": "STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745521",
            "telephone_number": "501-520-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6038 W NORDLING LOOP",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298715",
            "telephone_number": "501-520-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAMONTES",
        "first_name": "TRACI",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MFP Primary Care LLC
• Donna Jean Michaud, ARNP
• Lynn Marie Millard, APRN
• Sara Avery Milotta, SA9727
• Mindfulife Therapy, LLC
• Emily Robertson Miranda, SLPA, ITDS
• Bogdan Kryzysztof Mlodzik, MD
• Modern Family Dentistry
• Fagunkumar Modi, MD
• Adnan Mohammadbhoy, D.O.

• Family Nurse Practitioner in Crystal River, FL
• Providers in Crystal River, 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 Sep 20, 2022; 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.

Verify at the official NPI Registry.