Individual provider Active NPI

Glenda Fernandez

  • Acute Care Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1023711892
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11025381 Issued in FL
Practice address
10901 W Okeechobee Rd Unit 201
Hialeah, FL 33018-8101
Phone
(786) 718-2690
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11025381 FL Primary

Addresses

Primary practice location

10901 W Okeechobee Rd Unit 201
Hialeah, FL 33018-8101

Mailing address

10901 W Okeechobee Rd Unit 201
Hialeah, FL 33018-8101
Phone (786) 718-2690

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
I20260209003069 FL Practitioner - Nurse Practitioner 1153800214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 NW 170 St
Suite 301
North Miami Beach, FL 33169

1475 NW 12TH Ave
Miami, FL 33136-1002

7100 Pines Blvd
Suite 22
Pembroke Pines, FL 33024-7394

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025381FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vincenzo Novara MD PA CurrentSince Dec 14, 2025 Accepting new patients

Locations

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

100 NW 170th St
Ste 301
North Miami Beach, FL 33169
Phone (305) 651-3033

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1023711892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 W OKEECHOBEE RD UNIT 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330188101",
            "telephone_number": "786-718-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 W OKEECHOBEE RD UNIT 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330188101",
            "telephone_number": "786-718-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "GLENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11025381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.