Individual provider Active NPI

Graciela Acevedo, F.N.P.

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1669848461
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9295788 Issued in FL
Practice address
383 W 34TH St
Hialeah, FL 33012-4309
Phone
(305) 823-3312
Fax
(305) 884-3989
NPI assigned
Aug 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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 9295788 FL Primary

Addresses

Primary practice location

383 W 34TH St
Hialeah, FL 33012-4309

Mailing address

167 W 23Rd St
Hialeah, FL 33010-2211
Phone (305) 823-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9295788FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Medicial & Rehab Center Inc PastSince Jan 17, 2003 Accepting new patients

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": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1669848461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W 23RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102211",
            "telephone_number": "305-823-3312",
            "fax_number": "305-884-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 W 34TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124309",
            "telephone_number": "305-823-3312",
            "fax_number": "305-884-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "GRACIELA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9295788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.