Individual provider Active NPI

Rachael Marie Socarras, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1942844188
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019055532 Issued in FL
Practice address
5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Phone
(305) 556-7500
Fax
(305) 851-5708
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11004903 FL
Family Nurse Practitioner 363LF0000X 2019055532 FL Primary

Addresses

Primary practice location

5961 NW 173Rd Dr
Hialeah, FL 33015-5114

Mailing address

5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Phone (305) 556-7500

Other practice location 1

15794 SW 74th St
Miami, FL 33193-3317
Phone (305) 898-2214

Other identifiers 1

IdentifierTypeStateIssuer
11004903OtherFLAPRN LICENSE

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
I20210226000116 FL Practitioner - Nurse Practitioner 2264847185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004903FLMDFamily Medicine Physician
2019055532FLMDFamily Nurse Practitioner

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1942844188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155114",
            "telephone_number": "305-556-7500",
            "fax_number": "305-851-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155114",
            "telephone_number": "305-556-7500",
            "fax_number": "305-851-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15794 SW 74th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331933317",
            "country_code": "US",
            "telephone_number": "305-898-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOCARRAS",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2022-11-09",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11004903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2019055532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "11004903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.