Individual provider Active NPI

Nicole Mabardi, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1912460924
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9396730 Issued in FL
Practice address
3901 NW 7TH St
Miami, FL 33126-5504
Phone
(305) 854-1133
Fax
(305) 514-0076
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010983 CA
Family Nurse Practitioner 363LF0000X APRN9396730 FL Primary

Addresses

Primary practice location

3901 NW 7TH St
Miami, FL 33126-5504

Mailing address

2600 SW 27TH Ave Apt 505
Miami, FL 33133-3001
Phone (305) 484-9426

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
I20211217002128 FL Practitioner - Nurse Practitioner 7214328699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010983CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar Herrera MD PA CurrentSince Aug 23, 2024 Accepting new patients

Locations

1825 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 213-7717

2525 SW 75th Ave
Miami, FL 33155
Phone (305) 260-1852

3901 NW 7th St
Miami, FL 33126
Phone (305) 854-1133

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1912460924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW 27TH AVE APT 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333001",
            "telephone_number": "305-484-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265504",
            "telephone_number": "305-854-1133",
            "fax_number": "305-514-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABARDI",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9396730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.