Individual provider Active NPI

Gisselle Prada Martinez, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1619587805
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007966 Issued in FL
Practice address
6940 NW 186TH St Apt 131
Hialeah, FL 33015-3277
Phone
(786) 442-8349
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 11007966 FL Primary

Addresses

Primary practice location

6940 NW 186TH St Apt 131
Hialeah, FL 33015-3277

Mailing address

6940 NW 186TH St Apt 131
Hialeah, FL 33015-3277
Phone (786) 442-8349

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
I20230315000297 FL Practitioner - Nurse Practitioner 2264806249 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007966FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: gisselle.pradamartinez.p1@direct.caremax.nextgenshare.com

Organizations & group practices 1

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1619587805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 NW 186TH ST APT 131",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153277",
            "telephone_number": "786-442-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 NW 186TH ST APT 131",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153277",
            "telephone_number": "786-442-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADA MARTINEZ",
        "first_name": "GISSELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.