Individual provider Active NPI

Cheryl L Haynes, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1114814407
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11040266 Issued in FL
Practice address
4531 SW 113TH Way Unit 105
Pembroke Pines, FL 33025-7941
Phone
(816) 808-4367
NPI assigned
Jun 20, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 APRN11040266 FL Primary

Addresses

Primary practice location

4531 SW 113TH Way Unit 105
Pembroke Pines, FL 33025-7941

Mailing address

4531 SW 113TH Way Unit 105
Pembroke Pines, FL 33025-7941
Phone (816) 808-4367

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
I20251029001008 FL Practitioner - Nurse Practitioner 6901395151 Reassigns benefits to 1 organization
Practice locations: Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Pembroke Pines, FL 33025
Phone (816) 808-4367

18100 NE 19TH Ave
Suite 102
North Miami Beach, FL 33162-1606

184 Berenger Walk
Royal Palm Beach, FL 33414-4345

2250 Dorado Ave
Davie, FL 33324-6317

4531 SW 113TH Way Unit
Suite 105
Pembroke Pines, FL 33025-7941

6550 N Federal Hwy
Suite 220
Fort Lauderdale, FL 33308-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11040266FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nidal Radwan M.D. PA CurrentSince Nov 9, 2025 Accepting new patients

Locations

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

18100 NE 19th Ave
#102
North Miami Beach, FL 33162
Phone (305) 948-8900

Organizations & group practices 1

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1114814407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 SW 113TH WAY UNIT 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330257941",
            "telephone_number": "816-808-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 SW 113TH WAY UNIT 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330257941",
            "telephone_number": "816-808-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CHERYL",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.