Individual provider Active NPI

Mileidis Bada Martinez

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1134977663
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032719 Issued in FL
Practice address
11160 Grandview MNR
Wellington, FL 33414-8839
Phone
(561) 713-3100
NPI assigned
May 9, 2024
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 APRN11032719 FL Primary

Addresses

Primary practice location

11160 Grandview MNR
Wellington, FL 33414-8839

Mailing address

11160 Grandview MNR
Wellington, FL 33414-8839
Phone (561) 713-3100

Other practice location 1

4698 Forest Hill Blvd Ste B
West Palm Beach, FL 33415-5719
Phone (561) 621-0172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11032719FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1134977663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 GRANDVIEW MNR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148839",
            "telephone_number": "561-713-3100",
            "fax_number": "561-619-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 GRANDVIEW MNR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148839",
            "telephone_number": "561-713-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4698 Forest Hill Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334155719",
            "country_code": "US",
            "telephone_number": "561-621-0172",
            "fax_number": "561-619-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADA MARTINEZ",
        "first_name": "MILEIDIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.