Individual provider Active NPI

Vivian Vialat Soto, APRN

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1922600600
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009781 Issued in FL
Practice address
8291 Pine Rd
Tamarac, FL 33321-1624
Phone
(954) 465-0182
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009781 FL Primary

Addresses

Primary practice location

8291 Pine Rd
Tamarac, FL 33321-1624

Mailing address

8291 Pine Rd
Tamarac, FL 33321-1624
Phone (954) 465-0182

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
I20210720000741 FL Practitioner - Nurse Practitioner 9234532912 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009781FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of Florida LLC CurrentSince Mar 29, 2025 Accepting new patients
Wound Technology Network Past Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

Organizations & group practices 3

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1922600600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8291 PINE RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211624",
            "telephone_number": "954-465-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8291 PINE RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211624",
            "telephone_number": "954-465-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIALAT SOTO",
        "first_name": "VIVIAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.