Individual provider Active NPI

Izabella Da Silva, FNP

  • Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1811453319
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11001044 Issued in FL
Practice address
400 Arthur Godfrey Rd Ste 200
Miami Beach, FL 33140-3523
Phone
(305) 280-0643
Fax
(305) 363-5541
NPI assigned
Feb 20, 2019
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11001044 FL Primary

Addresses

Primary practice location

400 Arthur Godfrey Rd Ste 200
Miami Beach, FL 33140-3523

Mailing address

400 Arthur Godfrey Rd Ste 200
Miami Beach, FL 33140-3523
Phone (305) 280-0643

Other names 1

  • Izabella Azevedo Former name

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
I20210715004270 FL Practitioner - Nurse Practitioner 2961804752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FB Health SolutionsGroup PAC ID 9638595143, 10 clinicians
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

2501 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4818
Phone (954) 932-0120

6605 S Dixie Hwy
Miami, FL 33143-7919
Phone (305) 663-5880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001044FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Aug 25, 2022 Accepting new patients
MD Now Medical Centers Inc CurrentSince Aug 25, 2022 Accepting new patients
FB Health Solutions CurrentSince Jun 19, 2021 Accepting new patients
Forest Drive Physicians PastSince Jun 19, 2021 Accepting new patients

Locations

2501 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 932-0120

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

6605 S Dixie Hwy
Miami, FL 33143
Phone (305) 663-5880

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1811453319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ARTHUR GODFREY RD STE 200",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403523",
            "telephone_number": "305-280-0643",
            "fax_number": "305-363-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ARTHUR GODFREY RD STE 200",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403523",
            "telephone_number": "305-280-0643",
            "fax_number": "305-363-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVA",
        "first_name": "IZABELLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11001044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IZABELLA",
            "last_name": "AZEVEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.