Individual provider Active NPI

Teresa Vazquez, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1033469234
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2674692 Issued in FL
Practice address
38 NW 8TH St
Homestead, FL 33030-4405
Phone
(305) 246-0460
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2674692 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2674692 FL Primary

Addresses

Primary practice location

38 NW 8TH St
Homestead, FL 33030-4405

Mailing address

38 NW 8TH St
Homestead, FL 33030-4405
Phone (305) 246-0460

Other names 1

  • Teresita Vazquez Professional name

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
I20150126002006 FL Practitioner - Nurse Practitioner 2860716693 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2674692FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc CurrentSince Sep 23, 2014 Accepting new patients
Community Health of South Florida, Inc CurrentSince Sep 23, 2014 Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

810 W Mowry Dr
Homestead, FL 33030
Phone (305) 242-6040

Organizations & group practices 2

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1033469234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NW 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304405",
            "telephone_number": "305-246-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 NW 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304405",
            "telephone_number": "305-246-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2674692",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2674692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESITA",
            "last_name": "VAZQUEZ",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.