Individual provider Active NPI

Carlos Alberto Autie, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1912515768
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11008177 Issued in FL
Practice address
5803 NW 151St St Ste 301
Miami Lakes, FL 33014-2478
Phone
(786) 422-7374
Fax
(786) 422-7375
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11008177 FL Primary
Family Nurse Practitioner 363LF0000X APRN11008177 FL

Addresses

Primary practice location

5803 NW 151St St Ste 301
Miami Lakes, FL 33014-2478

Mailing address

3212 W 114TH Ter
Hialeah, FL 33018-2215
Phone (305) 778-6767

Other practice location 1

5901 NW 183rd St Ste 128
Hialeah, FL 33015-6009
Phone (786) 332-4965

Other practice location 2

1241 SW 1st St
Miami, FL 33135-2401
Phone (786) 475-4001

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
I20200929000527 FL Practitioner - Nurse Practitioner 2769801588 Reassigns benefits to 1 organization
Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008177FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Soul CMH, Inc CurrentSince Jul 7, 2022 Accepting new patients
Excellence Medical Group Corp Past Accepting new patients
Magi Health Care Clinic Inc PastSince Nov 24, 2024 Accepting new patients
Magi Health Care Clinic Inc PastSince Oct 1, 2021 Accepting new patients

Locations

5901 NW 183rd St
Ste 128
Miami Gardens, FL 33015
Phone (786) 332-4965

Organizations & group practices 4

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1912515768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 W 114TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182215",
            "telephone_number": "305-778-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 NW 151ST ST STE 301",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142478",
            "telephone_number": "786-422-7374",
            "fax_number": "786-422-7375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 NW 183rd St Ste 128",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330156009",
            "country_code": "US",
            "telephone_number": "786-332-4965",
            "fax_number": "786-362-6077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 SW 1st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352401",
            "country_code": "US",
            "telephone_number": "786-475-4001",
            "fax_number": "786-756-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUTIE",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11008177",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.