Individual provider Active NPI

Farah Maria Horta Bonnin, APRN

  • Family Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1831720218
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005242 Issued in FL
Practice address
6701 Sunset Dr Ste 212
South Miami, FL 33143-4529
Phone
(305) 663-0710
Fax
(305) 665-3051
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 APRN11005242 FL Primary

Addresses

Primary practice location

6701 Sunset Dr Ste 212
South Miami, FL 33143-4529

Mailing address

14680 SW 8TH St Ste 205
Miami, FL 33184-3138
Phone (305) 549-8937

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
I20200304002525 FL Practitioner - Nurse Practitioner 3577990472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group at South Miami IncGroup PAC ID 9931387875, 4 clinicians

Practice addresses (Care Compare)

6701 Sunset Dr
South Miami, FL 33143-4529
Phone (305) 663-0710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005242FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group at South Miami Inc CurrentSince Jun 1, 2024 Accepting new patients
Value Healthcare Partners PastSince Dec 1, 2024 Accepting new patients

Locations

6701 Sunset Dr
Ste 212
South Miami, FL 33143
Phone (305) 663-0710

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1831720218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14680 SW 8TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843138",
            "telephone_number": "305-549-8937",
            "fax_number": "786-801-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR STE 212",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-663-0710",
            "fax_number": "305-665-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTA BONNIN",
        "first_name": "FARAH",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.