Individual provider Active NPI

Oscar A Azmitia, N.P.

  • Psychiatric/Mental Health Registered Nurse
  • Naples, FL
National Provider Identifier
1689951329
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
401447 Issued in NY
Practice address
4179 Lakewood Blvd
Naples, FL 34112-6117
Phone
(347) 866-0961
NPI assigned
Nov 9, 2011
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 401447 NY Primary

Addresses

Primary practice location

4179 Lakewood Blvd
Naples, FL 34112-6117

Mailing address

4179 Lakewood Blvd
Naples, FL 34112-6117
Phone (347) 866-0961

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
401447NYMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1689951329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 LAKEWOOD BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126117",
            "telephone_number": "347-866-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 LAKEWOOD BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126117",
            "telephone_number": "347-866-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMITIA",
        "first_name": "OSCAR",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.