Individual provider Active NPI

Vanessa Rosa Lopez, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1912769217
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11030435 Issued in FL
Practice address
21097 NE 27TH CT Ste 540
Aventura, FL 33180-1235
Phone
(305) 933-9440
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 APRN11030435 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT Ste 540
Aventura, FL 33180-1235

Mailing address

16413 NW 21St St
Pembroke Pines, FL 33028-1754
Phone (954) 870-9533

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
I20240819003146 FL Practitioner - Nurse Practitioner 5395283550 Reassigns benefits to 2 organizations

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
Aventura Healthcare Specialists, LLCGroup PAC ID 2860542826, 22 clinicians

Practice addresses (Care Compare)

21097 NE 27TH CT
Suite 540
Aventura, FL 33180-1235
Phone (305) 933-9440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of FL, LLC CurrentSince Jun 1, 2024 Accepting new patients
Aventura Healthcare Specialists, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

21097 NE 27th Ct
Ste 540
Miami, FL 33180
Phone (305) 937-3022

3661 S Miami Ave
Ste 301
Miami, FL 33133
Phone (305) 285-2787

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

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

Interoperability endpoints

  • Direct secure messaging: vanessa.lopez@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1912769217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16413 NW 21ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281754",
            "telephone_number": "954-870-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 540",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801235",
            "telephone_number": "305-933-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "VANESSA",
        "middle_name": "ROSA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11030435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.