Individual provider Active NPI

Vanessa Rubiano Vargas, FNP

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1023819869
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04240157 Issued in FL
Practice address
607 S 26TH Ave
Hollywood, FL 33020-5701
Phone
(786) 657-4892
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F04240157 FL Primary

Addresses

Primary practice location

607 S 26TH Ave
Hollywood, FL 33020-5701

Mailing address

607 S 26TH Ave
Hollywood, FL 33020-5701
Phone (786) 657-4892

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
I20250709003954 FL Practitioner - Nurse Practitioner 0749794808 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04240157FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD at Home Central Florida, LLC Single Specialty CurrentSince Jun 30, 2025 Accepting new patients

Locations

8201 Peters Rd
Ste 1000
Plantation, FL 33324
Phone (312) 243-2223

Interoperability endpoints

  • Direct secure messaging: vanessa.rubiano.vargas.1@3342.direct.athenahealth.com

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": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1023819869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S 26TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205701",
            "telephone_number": "786-657-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S 26TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205701",
            "telephone_number": "786-657-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIANO VARGAS",
        "first_name": "VANESSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F04240157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.