Individual provider Active NPI

Mili Maria Xavier, FNP

  • Nurse Practitioner
  • Kenneth City, FL
National Provider Identifier
1851932941
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11002643 Issued in FL
Practice address
5670 54TH Ave N Ste a-1
Kenneth City, FL 33709-2067
Phone
(727) 548-0260
Fax
(727) 548-0270
NPI assigned
Oct 1, 2019
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 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 APRN11002643 FL Primary

Addresses

Primary practice location

5670 54TH Ave N Ste a-1
Kenneth City, FL 33709-2067

Mailing address

5670 54TH Ave N Ste a-1
Kenneth City, FL 33709-2067
Phone (727) 548-0260

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
I20191210001817 FL Practitioner - Nurse Practitioner 4385077007 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002643FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Infectious Diseases LLC CurrentSince Oct 10, 2019 Accepting new patients

Locations

5670 54th Ave N
Ste A-1
Kenneth City, FL 33709
Phone (727) 319-0547

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCCCA

Organizations & group practices 1

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1851932941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 54TH AVE N STE A-1",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337092067",
            "telephone_number": "727-548-0260",
            "fax_number": "727-548-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 54TH AVE N STE A-1",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337092067",
            "telephone_number": "727-548-0260",
            "fax_number": "727-548-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAVIER",
        "first_name": "MILI",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenneth City, FL

Sources for this page

Verify at the official NPI Registry.