Individual provider Active NPI

Zoila E Anta Vergara

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1821557323
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000997 Issued in FL
Practice address
4800 W Flagler St Ste 215
Coral Gables, FL 33134-1402
Phone
(954) 368-4786
Fax
(954) 368-4101
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024066684 FL
Family Nurse Practitioner 363LF0000X 11000997 FL Primary

Addresses

Primary practice location

4800 W Flagler St Ste 215
Coral Gables, FL 33134-1402

Mailing address

4420 NW 79TH Ave Apt 1F
Doral, FL 33166-6323
Phone (754) 244-4322

Other practice location 1

9765 NW 45th Ln
Doral, FL 33178-3367
Phone (754) 244-4322

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
I20200221001275 FL Practitioner - Nurse Practitioner 0042647513 Practice locations: Doral, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000997FLMDFamily Nurse Practitioner
2024066684FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Health Restoration CurrentSince Mar 31, 2024 Accepting new patients
Zelena NP LLC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Steps Therapy Center Corp Past Accepting new patients

Locations

3105 NW 107th Ave
Ste 400H11
Doral, FL 33172
Phone (305) 514-9045

43 NE 15th St
Homestead, FL 33030
Phone (786) 243-1909

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": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1821557323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 NW 79TH AVE APT 1F",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666323",
            "telephone_number": "754-244-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W FLAGLER ST STE 215",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341402",
            "telephone_number": "954-368-4786",
            "fax_number": "954-368-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9765 NW 45th Ln",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331783367",
            "country_code": "US",
            "telephone_number": "754-244-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTA VERGARA",
        "first_name": "ZOILA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2024066684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.