Maritza Fiesco, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11012261 Issued in FL

Practice address

4180 127TH TRL N
West Palm Beach, FL 33411-8943

Phone

(407) 520-6553

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Johnson Medical Services Corporation

  • Family Medicine Physician
  • Lake Worth, FL
  • NPI 1285871665
  Medicare reassignment NPD

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1992384424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 127TH TRL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118943",
            "telephone_number": "407-520-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 127TH TRL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334118943",
            "telephone_number": "407-520-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESCO",
        "first_name": "MARITZA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fi-Palm Beaches, LLC
• Carol Ann Fiddis, MS, CAP
• Henry Fidler
• Elyse Fields
• Jeff Adam Fields
• Niurka Dolores Figueredo Manresa
• Marius Bruce Figueredo, M.D.
• Jaymis Dennise Figueroa
• Kevia Figueroa
• Leira Iris Figueroa, MS, SLP

• Family Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.