Mili Maria Xavier, FNP
Individual provider Active NPI Nurse Practitioner · Kenneth City, FL
NPI 1851932941 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1851932941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11002643 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191210001817 | FL | Practitioner - Nurse Practitioner | 4385077007 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11002643 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Infectious Diseases LLC | Current |
Accepting new patients |
Locations
5670 54th Ave N
Ste A-1
Kenneth City, FL 33709
Phone (727) 319-0547
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCCCA
- https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11002643 | FL | Yes |
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
Other providers in Kenneth City, FL
- Kathryn S. Wefel
- Kelly Marie Wemken
- Dawn Willey Earls
- Dawn M Williams
- Rena Gentle Hope Williams
- Joseph R Zucco
All providers in Kenneth City, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.