Individual provider Active NPI

Stephanie Martha Cabrera, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1063982528
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11001673 Issued in FL
Practice address
16969 NW 67TH Ave Ste 205
Hialeah, FL 33015-4294
Phone
(786) 860-8844
Fax
(786) 892-9876
NPI assigned
Nov 27, 2018
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 APRN11001673 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11001673 FL Primary

Addresses

Primary practice location

16969 NW 67TH Ave Ste 205
Hialeah, FL 33015-4294

Mailing address

16969 NW 67TH Ave Ste 205
Hialeah, FL 33015-4294
Phone (786) 860-8844

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
I20190814001267 FL Practitioner - Nurse Practitioner 9830426824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Barnes Medical College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16969 NW 67 Ave
Suite 205
Miami, FL 33015-4294
Phone (786) 860-8844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001673FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Clinical LTC Associates of Florida PLLC Multi-Specialty CurrentSince Oct 11, 2021 Accepting new patients
South Florida Med Group , LLC Multi-Specialty CurrentSince Jun 15, 2023 Accepting new patients

Locations

4300 Rock Island Rd
Lauderhill, FL 33319
Phone (954) 309-1126

1404 NW 22nd St
Miami, FL 33142
Phone (305) 325-1050

16969 NW 67th Ave
Ste 205
Miami Gardens, FL 33015
Phone (786) 860-8844

11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270

2970 Scarlet Rd
Winter Park, FL 32792
Phone (350) 250-2435

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

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1063982528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16969 NW 67TH AVE STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154294",
            "telephone_number": "786-860-8844",
            "fax_number": "786-892-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16969 NW 67TH AVE STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154294",
            "telephone_number": "786-860-8844",
            "fax_number": "786-892-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "STEPHANIE",
        "middle_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001673",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11001673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.