Individual provider Active NPI

Lisset Casanueva, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1699442657
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014590 Issued in FL
Practice address
1165 NE 183Rd St
Miami, FL 33179-4611
Phone
(305) 788-2728
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 APRN11014590 FL Primary

Addresses

Primary practice location

1165 NE 183Rd St
Miami, FL 33179-4611

Mailing address

1165 NE 183Rd St
Miami, FL 33179-4611
Phone (305) 788-2728

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
I20211111002539 FL Practitioner - Nurse Practitioner 5698164648 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11014590FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Medical Associates of Aventura CurrentSince Feb 1, 2024 Accepting new patients
Mount Sinai Medical Center Cardiology LLC CurrentSince Apr 25, 2022 Accepting new patients
Wayne N Evancho DO PA CurrentSince Oct 25, 2021 Accepting new patients

Locations

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

21097 NE 27th Ct
Ste 300
Miami, FL 33180
Phone (786) 244-2700

4300 Alton Rd
Ste 2070
Miami Beach, FL 33140
Phone (305) 674-2609

1380 NE Miami Gardens Dr
Ste 285
North Miami Beach, FL 33179
Phone (304) 944-8777

3435 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 947-3700

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHIBCD

Organizations & group practices 3

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1699442657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NE 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794611",
            "telephone_number": "305-788-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NE 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794611",
            "telephone_number": "305-788-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANUEVA",
        "first_name": "LISSET",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.