Individual provider Active NPI

Lineth Fontela-Hume, APRN

  • Family Nurse Practitioner
  • Virginia Gardens, FL
National Provider Identifier
1831656420
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000409 Issued in FL
Practice address
6004 NW 38TH St
Virginia Gardens, FL 33166-7007
Phone
(786) 314-6534
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 11000409 FL Primary

Addresses

Primary practice location

6004 NW 38TH St
Virginia Gardens, FL 33166-7007

Mailing address

6004 NW 38TH St
Virginia Gardens, FL 33166-7007
Phone (786) 314-6534

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
I20190429000286 FL Practitioner - Nurse Practitioner 3476895210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000409FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1831656420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 NW 38TH ST",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667007",
            "telephone_number": "786-314-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 NW 38TH ST",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667007",
            "telephone_number": "786-314-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTELA-HUME",
        "first_name": "LINETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

Verify at the official NPI Registry.