Individual provider Active NPI

Kenia Montero

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1134722127
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11009979 Issued in FL
Practice address
6750 SW 155TH Ave
Miami, FL 33193-2115
Phone
(786) 943-4340
Fax
(786) 637-2276
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Family Nurse Practitioner 363LF0000X APRN11009979 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11009979 FL Primary

Addresses

Primary practice location

6750 SW 155TH Ave
Miami, FL 33193-2115

Mailing address

6750 SW 155TH Ave
Miami, FL 33193-2115
Phone (786) 943-4340

Other identifiers 1

IdentifierTypeStateIssuer
APRN11009979OtherFLLICENSE

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
I20231113001537 FL Practitioner - Nurse Practitioner 4284081225 Reassigns benefits to 3 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Community IncGroup PAC ID 3577964956, 12 clinicians

Practice addresses (Care Compare)

12964 SW 133Rd CT
Suite 33
Miami, FL 33186-5806
Phone (786) 943-4340

6750 SW 155TH Ave
Miami, FL 33193-2115

8725 NW 18TH Ter
Suite 206
Doral, FL 33172-2629
Phone (786) 451-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009979FLMDFamily Nurse Practitioner
11009979FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Community Inc CurrentSince Aug 14, 2023 Accepting new patients
DGP Health & Wellness Corp CurrentSince Aug 1, 2023 Accepting new patients
Cardentey Transport LLC CurrentSince Oct 4, 2024 Accepting new patients
Psychiatric Equilibrium Inc Psychiatric/Mental Health CurrentSince Jan 10, 2024 Accepting new patients

Locations

200 Knuth Rd
Ste 212
Boynton Beach, FL 33436
Phone (561) 279-3132

10440 NW 37th Ter
Doral, FL 33178
Phone (305) 603-7139

8725 NW 18th Ter
Ste 206
Doral, FL 33172
Phone (786) 451-8700

12963 W Okeechobee Rd
Ste 1
Hialeah Gardens, FL 33018
Phone (786) 420-9282

12964 SW 133rd Ct
#33
Miami, FL 33186
Phone (786) 943-4340

12964 SW 133rd Ct
Unit 33
Miami, FL 33186

6141 Sunset Dr
Ste 130A
South Miami, FL 33143
Phone (786) 482-9177

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1134722127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SW 155TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932115",
            "telephone_number": "786-943-4340",
            "fax_number": "786-637-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 SW 155TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932115",
            "telephone_number": "786-943-4340",
            "fax_number": "786-637-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "KENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009979",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11009979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN11009979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.