Individual provider Active NPI

Erica Janel Penaranda, APRN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1023728086
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001556 Issued in FL
Practice address
3100 SW 62ND Ave Ste 121
Miami, FL 33155-3009
Phone
(305) 662-8360
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 11001556 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave Ste 121
Miami, FL 33155-3009

Mailing address

9265 SW 81St St
Miami, FL 33173-4101
Phone (305) 305-7318

Other identifiers 1

IdentifierTypeStateIssuer
2018081632MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.penaranda@nicklauschildrens.org Kidz Medical Services, Inc

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11001556FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1023728086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 SW 81ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734101",
            "telephone_number": "305-305-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE STE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENARANDA",
        "first_name": "ERICA",
        "middle_name": "JANEL",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018081632",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.penaranda@nicklauschildrens.org",
            "affiliation": "Y",
            "affiliationName": "Kidz Medical Services, Inc",
            "address_1": "3100 SW 62nd Ave Ste 121",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331553009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.