Individual provider Active NPI

Nery Avila, ARNP, NP-C

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1649650532
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9248347 Issued in FL
Practice address
110 W 31St St
Hialeah, FL 33012-5419
Phone
(305) 206-6717
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9248347 FL Primary
Primary Care Nurse Practitioner 363LP2300X ARNP9248347 FL

Addresses

Primary practice location

110 W 31St St
Hialeah, FL 33012-5419

Mailing address

110 W 31St St
Hialeah, FL 33012-5419
Phone (305) 206-6717

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
I20231220001802 FL Practitioner - Nurse Practitioner 4880044627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Javier Ricardo MD PAGroup PAC ID 4284669011, 5 clinicians

Practice addresses (Care Compare)

7000 W 12TH Ave
Suite 12
Hialeah, FL 33014-5154
Phone (305) 267-6774

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9248347FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Javier Ricardo MD PA CurrentSince Nov 14, 2023 Accepting new patients
Anchor Medical Center Current Accepting new patients

Locations

7000 W 12th Ave
Ste 12
Hialeah, FL 33014
Phone (305) 267-6774

Interoperability endpoints

  • Direct secure messaging: nery.avila.1@4307.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1649650532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 31ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125419",
            "telephone_number": "305-206-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 31ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125419",
            "telephone_number": "305-206-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "NERY",
        "name_prefix": "Dr.",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9248347",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9248347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.