Individual provider Active NPI

Judith Calvert, RBT

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1669055430
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-77022 Issued in FL
Practice address
13195 SW 134TH St Ste 101-103
Miami, FL 33186-4499
Phone
(786) 227-6830
Fax
(786) 524-2413
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11022947 FL
Adult Health Nurse Practitioner 363LA2200X APRN11022947 FL
Gerontology Nurse Practitioner 363LG0600X APRN11022947 FL
Behavior Analyst 103K00000X 1-24-77022 FL Primary
Registered Nurse 163W00000X RN9540325 FL
Behavior Technician 106S00000X RBT-21-152014 FL

Addresses

Primary practice location

13195 SW 134TH St Ste 101-103
Miami, FL 33186-4499

Mailing address

2360 Coral Way Apt 8
Coral Gables, FL 33145-3529
Phone (786) 575-7022

Other practice location 1

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 674-2071

Other identifiers 1

IdentifierTypeStateIssuer
120371800MedicaidFL

Other names 1

  • Judith Calvert Professional name

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
I20231027001321 FL Practitioner - Nurse Practitioner 5294181210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurg LLCGroup PAC ID 2860412509, 15 clinicians

Practice addresses (Care Compare)

4302 Alton Rd
Suite 810
Miami Beach, FL 33140-2893
Phone (305) 674-2950

4306 Alton Rd
2ND FL
Miami Beach, FL 33140-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.7 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
56.03

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
93.89
Promoting interoperability
100
Improvement activities
40
Cost
60.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RBT-21-152014FLMDBehavior Technician
RN9540325FLMDRegistered Nurse
APRN11022947FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MSMC Interventional, LLC CurrentSince Jun 19, 2023 Accepting new patients
Esperanza Group LLC Behavior Analyst CurrentSince Feb 9, 2025 Accepting new patients
Neurosurg LLC CurrentSince Oct 2, 2023 Accepting new patients
MSMC Interventional, LLC Past Accepting new patients

Locations

2845 Aventura Blvd
Ste 245
Aventura, FL 33180
Phone (305) 466-7333

13195 SW 134th St
Ste 101103
Miami, FL 33186
Phone (786) 227-6830

4302 Alton Rd
Ste 810
Miami Beach, FL 33140
Phone (305) 531-6766

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Interoperability endpoints

  • Direct secure messaging: jcalvert72726@direct.msmc.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71720

Organizations & group practices 4

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.

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1669055430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 CORAL WAY APT 8",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453529",
            "telephone_number": "786-575-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST STE 101-103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864499",
            "telephone_number": "786-227-6830",
            "fax_number": "786-524-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-674-2071",
            "fax_number": "305-503-5617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "JUDITH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022947",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11022947",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11022947",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-77022",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9540325",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-152014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120371800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "CALVERT",
            "credential": "BCBA, APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.