Individual provider Active NPI

Lisandra Martinez Salazar

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmetto Bay, FL
National Provider Identifier
1164294401
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11032324 Issued in FL
Practice address
9849 SW 184TH St
Palmetto Bay, FL 33157-6934
Phone
(786) 644-5400
Fax
(786) 644-5404
NPI assigned
Oct 30, 2023
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11032324 FL Primary
Registered Nurse 163W00000X 9562278 FL

Addresses

Primary practice location

9849 SW 184TH St
Palmetto Bay, FL 33157-6934

Mailing address

9849 SW 184TH St
Palmetto Bay, FL 33157-6934
Phone (786) 644-5400

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
I20240729003593 FL Practitioner - Nurse Practitioner 7517403306 Reassigns benefits to 2 organizations
Practice locations: Homestead, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bright Mind Healthcare CorpGroup PAC ID 7315475639, 2 clinicians
Comforting Aid, LLCGroup PAC ID 3476948779, 6 clinicians

Practice addresses (Care Compare)

432 SW 8TH Ave
Miami, FL 33130-2507
Phone (786) 644-5400

760 NW 107TH Ave
Suite 208
Miami, FL 33172-3155
Phone (786) 571-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9562278FLMDRegistered Nurse
11032324FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluelife for Kids ABA Services LLC Current Accepting new patients
Bright Mind Healthcare Corp CurrentSince Dec 13, 2024 Accepting new patients
Comforting Aid, LLC Current Accepting new patients
Comforting Aid, LLC CurrentSince Apr 14, 2025 Accepting new patients

Locations

432 SW 8th Ave
Miami, FL 33130
Phone (305) 545-1127

760 NW 107th Ave
Ste 208
Miami, FL 33172
Phone (305) 878-9287

9849 SW 184th St
Palmetto Bay, FL 33157
Phone (786) 644-5400

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, 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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1164294401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-644-5400",
            "fax_number": "786-644-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-644-5400",
            "fax_number": "786-644-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SALAZAR",
        "first_name": "LISANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11032324",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9562278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.