Individual provider Active NPI

Jennifer Quesada, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1104554328
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021023 Issued in FL
Practice address
10288 SW 228TH Ter
Miami, FL 33190-1990
Phone
(786) 325-9637
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BCBA1-25-81821 FL
Family Nurse Practitioner 363LF0000X 11021023 FL Primary

Addresses

Primary practice location

10288 SW 228TH Ter
Miami, FL 33190-1990

Mailing address

10288 SW 228TH Ter
Miami, FL 33190-1990
Phone (786) 325-9637

Other practice location 1

8300 W Flagler St Ste 170
Miami, FL 33144-2098
Phone (786) 435-2412

Other identifiers 1

IdentifierTypeStateIssuer
127470500MedicaidFL

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
I20250611000646 FL Practitioner - Nurse Practitioner 6608954201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11021023FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince May 28, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Conty Florida CurrentSince May 28, 2025 Accepting new patients
Olympus Healthcare Services Inc Behavior Analyst PastSince Dec 8, 2020 Accepting new patients

Locations

18910 S Dixie Hwy
Cutler Bay, FL 33157
Phone (305) 585-9230

Organizations & group practices 4

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1104554328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10288 SW 228TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331901990",
            "telephone_number": "786-325-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10288 SW 228TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331901990",
            "telephone_number": "786-325-9637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 W Flagler St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442098",
            "country_code": "US",
            "telephone_number": "786-435-2412",
            "fax_number": "786-558-9279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUESADA",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA1-25-81821",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127470500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.