Individual provider Active NPI

Ginna Paola Fominaya Pardo, APRN

  • Family Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1689542011
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11043241 Issued in FL
Practice address
9003 NW 44TH CT
Sunrise, FL 33351-5362
Phone
(305) 833-0836
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11043241 FL Primary

Addresses

Primary practice location

9003 NW 44TH CT
Sunrise, FL 33351-5362

Mailing address

9003 NW 44TH CT
Sunrise, FL 33351-5362
Phone (305) 833-0836

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
I20260211003822 FL Practitioner - Nurse Practitioner 5496234106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delray Medical Group, PAGroup PAC ID 2860927217, 3 clinicians

Practice addresses (Care Compare)

13590 S Jog Rd
Suite 4
Delray Beach, FL 33446-3807
Phone (561) 396-1538

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11043241FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delray Medical Group, PA Multi-Specialty CurrentSince Feb 23, 2026 Accepting new patients

Locations

13590 S Jog Rd
Ste 4
Delray Beach, FL 33446
Phone (561) 396-1538

9835 Lake Worth Rd
Ste 16384
Lake Worth, FL 33467

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1689542011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 NW 44TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515362",
            "telephone_number": "305-833-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 NW 44TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515362",
            "telephone_number": "305-833-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMINAYA PARDO",
        "first_name": "GINNA",
        "middle_name": "PAOLA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11043241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.