Individual provider Active NPI

Niurka M Fernandez Blancas

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1851726517
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
12821 SW 43Rd Dr
Apt 131
Miami, FL 33175-4180
Phone
(305) 796-1021
Fax
(305) 223-8399
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X CNA187412 FL
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

12821 SW 43Rd Dr
Apt 131
Miami, FL 33175-4180

Mailing address

12821 SW 43Rd Dr
Apt 131
Miami, FL 33175-4180
Phone (786) 320-2955

Other identifiers 1

IdentifierTypeStateIssuer
002938000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CNA187412FLMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1851726517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 SW 43RD DR",
            "address_2": "APT 131",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754180",
            "telephone_number": "786-320-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 SW 43RD DR",
            "address_2": "APT 131",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754180",
            "telephone_number": "305-796-1021",
            "fax_number": "305-223-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ BLANCAS",
        "first_name": "NIURKA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "CNA187412",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002938000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.