Lissette Fagundo, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11031638 Issued in FL

Practice address

16258 NW 78TH PL
Miami Lakes, FL 33016-6178

Phone

(305) 308-4951

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Criticare Clinics Inc

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1508871948
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1790545523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16258 NW 78TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166178",
            "telephone_number": "305-308-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16258 NW 78TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166178",
            "telephone_number": "305-308-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGUNDO",
        "first_name": "LISSETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11031638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Experts Home Health Care LLC
• Express Dental Inc
• Extreme Sports Medicine & Rehabilitation Inc
• Miriela Fabregas
• Alberto Francisco Fachado
• Fair Price Services, Inc
• Oluwakolawole Samuel Falana
• Falcon Physical Therapy, Inc.
• Carlos Falcon, MPT
• Evelyn M Falcon, MS, CCC-SLP

• Acute Care Nurse Practitioner in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.