Iraisa Carpio Fonticiella

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11028459 Issued in FL

Practice address

4903 SW 144TH CT
Miami, FL 33175-5052

Phone

(786) 675-1986

NPI assigned

Sep 15, 2023

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Health LLCGroup PAC ID 1850838541, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• South Health LLC

  • Pediatric Endocrinology Physician
  • Ave Maria, FL
  • NPI 1235974916
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1619755212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 SW 144TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 SW 144TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755052",
            "telephone_number": "786-675-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO FONTICIELLA",
        "first_name": "IRAISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carpe Diem Academy LH
• Carpe Diem Academy Little Havana
• Carpe Diem Health Provider LLC
• Karen Marlene Carpenter
• Maria Fernanda Carpintero, M.D
• Yeney Carpio Ramirez
• Ariel Carpio Rodriguez
• Sergio Carpio Rodriguez, NP
• Jose M. Carpio, M.D.
• Maria Elena Carpio, M.D

• 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 Sep 15, 2023; 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.