Active NPI
Alejandra Collazo, NURSE PRACTITIONER
- Family Health Clinical Nurse Specialist
- Miami, FL
National Provider Identifier
1942519079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- PENDING
- Practice address
- 680 W Park Dr
Apt 105
Miami, FL 33172-5354 - Phone
- (305) 594-4421
- Fax
- (305) 594-4644
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | PENDING | FL | Primary |
Addresses
Primary practice location
680 W Park Dr
Apt 105
Miami, FL 33172-5354
Mailing address
680 West Park Drive
Apt 105
Miami, FL 33172
Phone (305) 594-4421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1246889942153 | Other | FL | PALS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1942519079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 WEST PARK DRIVE",
"address_2": "APT 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "33172",
"telephone_number": "305-594-4421",
"fax_number": "305-594-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 W PARK DR",
"address_2": "APT 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331725354",
"telephone_number": "305-594-4421",
"fax_number": "305-594-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "ALEJANDRA",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "FL",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALS",
"identifier": "1246889942153",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.