Individual provider Active NPI

Nadieska Benitez Gort

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1043089725
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-315707 Issued in FL
Practice address
5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442
Phone
(786) 905-2262
Fax
(786) 398-5500
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-315707 FL Primary

Addresses

Primary practice location

5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442

Mailing address

19425 SW 129TH Ave
Miami, FL 33177-4234
Phone (305) 613-8013

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

State licenses

LicenseStateTypeSpecialty
RBT-23-315707FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1043089725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19425 SW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774234",
            "telephone_number": "305-613-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 127",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142442",
            "telephone_number": "786-905-2262",
            "fax_number": "786-398-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ GORT",
        "first_name": "NADIESKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-315707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.