Judith De la Incera, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11027992 Issued in FL

Practice address

423 SW 80TH Ave
Miami, FL 33144-2121

Phone

(786) 715-9022

NPI assigned

Aug 9, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Institute for Family Therapy Inc

  • Clinical Social Worker
  • Miami Lakes, FL
  • NPI 1407837743
  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1033892864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST STE 404",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142493",
            "telephone_number": "305-558-7400",
            "fax_number": "305-558-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SW 80TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442121",
            "telephone_number": "786-715-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA INCERA",
        "first_name": "JUDITH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11027992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florindo De la Hoz, PHYSICIAN ASSISTANT
• Luis Carlos De la Huerta Cabrera
• Ana M De la Huerta, PHARMB
• Yunierquis De la Iglesia Morin
• Javier De la Iglesia
• Diana N De la Lanza
• Vanessa De la Llama, MS, LMHC
• Mayte De la Mata
• Sebastian De la Maza, CHILD ADOLESCENT AND
• Berenice E De la Mota, MS, RDN

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.