Active NPI
Cindy Sayonara Derequito, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11007565
- Practice address
- 7369 Sheridan St Ste 101
Hollywood, FL 33024-2776 - Phone
- (954) 561-6222
- Fax
- (954) 990-7650
- NPI assigned
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11007565 | FL | Primary |
Addresses
Primary practice location
7369 Sheridan St Ste 101
Hollywood, FL 33024-2776
Mailing address
7261 Sheridan St Ste 340
Hollywood, FL 33024-2726
Phone (954) 561-6222
Other practice location 1
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222
Other practice location 2
7261 Sheridan St Ste 100B
Hollywood, FL 33024-2708
Phone (954) 561-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107355300 | Medicaid | FL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1400 E Oakland Park Blvd
Suite 210
Oakland Park, FL 33334-4400
Phone 9545616222111
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.48 of 100
- Quality
- 9.18
- Improvement activities
- 40
- Cost
- 76.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11007565 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventre Medical Associates LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
7369 Sheridan St
Ste 101
Hollywood, FL 33024
Phone (954) 562-6222
7261 Sheridan St
Ste 340
Hollywood, FL 33024
7261 Sheridan St
Ste 100B
Hollywood, FL 33024
Phone (754) 777-8668
1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Oakland Park, FL
- NPI 1073818183
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1134745185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 SHERIDAN ST STE 340",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242726",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7369 SHERIDAN ST STE 101",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242776",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
}
],
"practiceLocations": [
{
"address_1": "1400 E Oakland Park Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Oakland Park",
"state": "FL",
"postal_code": "333344400",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7261 Sheridan St Ste 100B",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242708",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEREQUITO",
"first_name": "CINDY",
"middle_name": "SAYONARA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11007565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107355300",
"state": "FL"
}
],
"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 Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.