Individual provider Active NPI

Teresa Moreno Herrera, DNP, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1114477924
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9360319 Issued in FL
Practice address
22402 SW 128TH PL
Miami, FL 33170-2714
Phone
(786) 853-9531
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 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 9360319 FL Primary
Clinic/Center 261Q00000X 9360319 FL

Addresses

Primary practice location

22402 SW 128TH PL
Miami, FL 33170-2714

Mailing address

24724 SW 110TH Ave
Homestead, FL 33032-4402
Phone (786) 853-9531

Other practice location 1

8380 SW 8th St
Miami, FL 33144
Phone (786) 536-2558

Other practice location 2

8364 SW 8th St
Miami, FL 33144-4180
Phone (786) 853-9531

Other names 1

  • Teresa Moreno Herrera Professional name

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
I20171016000383 FL Practitioner - Nurse Practitioner 1052690146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradise Medical Center IncGroup PAC ID 1254685241, 3 clinicians

Practice addresses (Care Compare)

8380 SW 8TH St
Miami, FL 33144-4180
Phone (786) 536-2558

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9360319FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Medical Center Inc Clinic/Center CurrentSince Jun 1, 2018 Accepting new patients
Paradise Medical Center 2, Inc Clinic/Center CurrentSince Feb 8, 2025 Accepting new patients

Locations

8380 SW 8th St
Miami, FL 33144
Phone (305) 262-8984

8364 SW 8th St
Miami, FL 33144
Phone (305) 262-3262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1114477924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24724 SW 110TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324402",
            "telephone_number": "786-853-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22402 SW 128TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702714",
            "telephone_number": "786-853-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33144",
            "country_code": "US",
            "telephone_number": "786-536-2558",
            "fax_number": "786-536-2829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8364 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444180",
            "country_code": "US",
            "telephone_number": "786-853-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO HERRERA",
        "first_name": "TERESA",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9360319",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "9360319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "MORENO HERRERA",
            "credential": "DNP, ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.