Individual provider Active NPI

Jannette Valle

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1154815132
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9409541 Issued in FL
Practice address
8812 NW 110TH St
Hialeah Gardens, FL 33018-4545
Phone
(786) 546-3328
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 9409541 FL Primary

Addresses

Primary practice location

8812 NW 110TH St
Hialeah Gardens, FL 33018-4545

Mailing address

8812 NW 110TH St
Hialeah Gardens, FL 33018-4545
Phone (786) 546-3328

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
I20220927000100 FL Practitioner - Nurse Practitioner 3476939646 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Medical Group PAGroup PAC ID 8426391871, 11 clinicians

Practice addresses (Care Compare)

7480 Fairway Dr
Suite 106
Miami Lakes, FL 33014-6879
Phone (305) 704-0449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9409541FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Group, P.a. CurrentSince Mar 1, 2025 Accepting new patients

Locations

3640 N Federal Hwy
Ste 5
Lighthouse Point, FL 33064
Phone (754) 732-2444

7480 Fairway Dr
Ste 106
Miami Lakes, FL 33014
Phone (305) 704-0449

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1154815132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 NW 110TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184545",
            "telephone_number": "786-546-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 NW 110TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184545",
            "telephone_number": "786-546-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "JANNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9409541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.