Individual provider Active NPI

Ozzahara Fonticiella, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1962185579
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11027558 Issued in FL
Practice address
2720 SW 97TH Ave Ste C103
Miami, FL 33165-2677
Phone
(786) 791-1799
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 11027558 FL Primary

Addresses

Primary practice location

2720 SW 97TH Ave Ste C103
Miami, FL 33165-2677

Mailing address

14655 SW 51St St
Miami, FL 33175-5743
Phone (305) 434-6537

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
I20250902001052 FL Order and Referring Only - Nurse Practitioner 9830540665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11027558FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1962185579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 SW 51ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755743",
            "telephone_number": "305-434-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SW 97TH AVE STE C103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652677",
            "telephone_number": "786-791-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTICIELLA",
        "first_name": "OZZAHARA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.