Individual provider Active NPI

Elena Blanco Baez, APRN 11008738

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710599832
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008738 Issued in FL
Practice address
2141 SW 1St St Ste 107
Miami, FL 33135-5601
Phone
(305) 649-3336
Fax
(305) 649-3929
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 11008738 FL Primary

Addresses

Primary practice location

2141 SW 1St St Ste 107
Miami, FL 33135-5601

Mailing address

1930 NW 94TH St
Miami, FL 33147-3158
Phone (786) 314-3605

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
I20201110001678 FL Practitioner - Nurse Practitioner 4880004431 Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008738FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Benitez MD PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15858/brand/1/csg/1/fhir/r4

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1710599832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 NW 94TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331473158",
            "telephone_number": "786-314-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 SW 1ST ST STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355601",
            "telephone_number": "305-649-3336",
            "fax_number": "305-649-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO BAEZ",
        "first_name": "ELENA",
        "credential": "APRN 11008738",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.