Individual provider Active NPI

Aimee Maceda Blanco, APRN-BC, FNP

  • Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1679341325
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11017063 Issued in FL
Practice address
16731 NW 78TH PL
Miami Lakes, FL 33016-3402
Phone
(786) 930-0218
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11017063 FL Primary

Addresses

Primary practice location

16731 NW 78TH PL
Miami Lakes, FL 33016-3402

Mailing address

16731 NW 78TH PL
Miami Lakes, FL 33016-3402
Phone (786) 930-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11017063FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1679341325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16731 NW 78TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163402",
            "telephone_number": "786-930-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16731 NW 78TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163402",
            "telephone_number": "786-930-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDA BLANCO",
        "first_name": "AIMEE",
        "credential": "APRN-BC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.