Individual provider Active NPI

Wickander Ferreira, BSN, RN, MLS

  • Registered Nurse
  • Aventura, FL
National Provider Identifier
1972009066
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9674532 Issued in FL
Practice address
18031 Biscayne Blvd PH 2
Aventura, FL 33160-5248
Phone
(305) 704-8503
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Laboratory Management Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QL0900X TN52623 FL
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN9674532 FL Primary

Addresses

Primary practice location

18031 Biscayne Blvd PH 2
Aventura, FL 33160-5248

Mailing address

18031 Biscayne Blvd PH 2
Aventura, FL 33160-5248
Phone (305) 704-8503

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

LicenseStateTypeSpecialty
TC52623FLMDPathology Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1972009066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18031 BISCAYNE BLVD PH 2",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605248",
            "telephone_number": "305-704-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18031 BISCAYNE BLVD PH 2",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605248",
            "telephone_number": "305-704-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "WICKANDER",
        "name_prefix": "Mr.",
        "credential": "BSN, RN, MLS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "FL",
            "license": "TN52623",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9674532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.