Individual provider Active NPI

Ana Maria Gaviria, ARNP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1649688979
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9253040 Issued in FL
Practice address
350 NW 84TH Ave Ste 102
Plantation, FL 33324-1820
Phone
(954) 370-7555
Fax
(954) 302-4724
NPI assigned
Jul 30, 2014
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9253040 FL
Family Nurse Practitioner 363LF0000X ARNP9253040 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 102
Plantation, FL 33324-1820

Mailing address

6832 NW 179TH St
205
Hialeah, FL 33015-7422

Other practice location 1

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone (954) 392-4750

Other practice location 2

1228 S Pine Island Rd Ste 410
Plantation, FL 33324-4583
Phone (954) 837-1490

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
I20150930003046 FL Practitioner - Nurse Practitioner 5193033777 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

Practice addresses (Care Compare)

1228 S Pine Island Rd
Suite 130
Plantation, FL 33324-4580
Phone (954) 837-1490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
72.23
Promoting interoperability
99
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9253040FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Oncology LLC CurrentSince Feb 27, 2023 Accepting new patients
Baptist Health Medical Group Oncology LLC CurrentSince Feb 27, 2023 Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1228 S Pine Island Rd
Ste 130
Plantation, FL 33324
Phone (954) 837-1490

1228 S Pine Island Rd
Ste 410
Plantation, FL 33324
Phone (954) 837-1490

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 1

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1649688979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 NW 179TH ST",
            "address_2": "205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241820",
            "telephone_number": "954-370-7555",
            "fax_number": "954-302-4724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12309 Pembroke Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330251723",
            "country_code": "US",
            "telephone_number": "954-392-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1228 S Pine Island Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333244583",
            "country_code": "US",
            "telephone_number": "954-837-1490",
            "fax_number": "954-837-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIRIA",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9253040",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9253040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.