Individual provider Active NPI

Stephanie Maria Perez, ARNP

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1902632243
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11033009 Issued in FL
Practice address
20986 SW 124TH Avenue Rd
Miami, FL 33177-5750
Phone
(786) 473-6668
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11033009 FL Primary

Addresses

Primary practice location

20986 SW 124TH Avenue Rd
Miami, FL 33177-5750

Mailing address

20986 SW 124TH Avenue Rd
Miami, FL 33177-5750
Phone (786) 473-6668

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
I20241108001626 FL Practitioner - Nurse Practitioner 3870027154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Healthcare Specialists LLCGroup PAC ID 4789750118, 47 clinicians

Practice addresses (Care Compare)

11760 Bird Rd
Suite 722
Miami, FL 33175-8101
Phone (305) 559-1857

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033009FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Healthcare Specialists LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

2402 Frist Blvd
Ste 204
Fort Pierce, FL 34950
Phone (772) 466-1113

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 SW 40th St
Ste 301
Miami, FL 33175
Phone (305) 226-2020

11760 SW 40th St
Ste 722
Miami, FL 33175
Phone (305) 559-1883

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1902632243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20986 SW 124TH AVENUE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775750",
            "telephone_number": "786-473-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20986 SW 124TH AVENUE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775750",
            "telephone_number": "786-473-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "STEPHANIE",
        "middle_name": "MARIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11033009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.