Individual provider Active NPI

Blanca Infante

  • Family Nurse Practitioner
  • Opa Locka, FL
National Provider Identifier
1982371639
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014831 Issued in FL
Practice address
401 Opa Locka Blvd
Opa Locka, FL 33054-3528
Phone
(786) 535-7200
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 APRN11014831 FL Primary

Addresses

Primary practice location

401 Opa Locka Blvd
Opa Locka, FL 33054-3528

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710

Other practice location 1

1255 west 49 pl
Apt B101
Hialeah, FL 33012
Phone (786) 499-9087

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
I20211006000865 FL Practitioner - Nurse Practitioner 5496153439 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Health LLCGroup PAC ID 1850838541, 19 clinicians

Practice addresses (Care Compare)

5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142-9668
Phone (239) 867-4395

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida LLC CurrentSince Jan 17, 2022 Accepting new patients
South Health SF CurrentSince Jan 7, 2025 Accepting new patients
Integrative Care Services Florida LLC CurrentSince Aug 1, 2024 Accepting new patients
South Health LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142
Phone (239) 304-0054

17724 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (727) 798-5450

5673 SW 137th Ave
Miami, FL 33183
Phone (305) 385-3949

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

401 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 535-7200

Interoperability endpoints

  • Direct secure messaging: blanca.infante.1@14558.direct.athenahealth.com

Organizations & group practices 5

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1982371639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543528",
            "telephone_number": "786-535-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 west 49 pl",
            "address_2": "Apt B101",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "33012",
            "country_code": "US",
            "telephone_number": "786-499-9087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INFANTE",
        "first_name": "BLANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.