Individual provider Active NPI

Greidys Hernandez Perez

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1083336812
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019315 Issued in FL
Practice address
6517 Taft St
Hollywood, FL 33024-4062
Phone
(954) 983-9191
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019315 FL Primary

Addresses

Primary practice location

6517 Taft St
Hollywood, FL 33024-4062

Mailing address

6832 NW 179TH St Apt 107
Hialeah, FL 33015-7422
Phone (786) 908-3176

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019315FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1083336812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 NW 179TH ST APT 107",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157422",
            "telephone_number": "786-908-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244062",
            "telephone_number": "954-983-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PEREZ",
        "first_name": "GREIDYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.