Individual provider Active NPI

Desiree Rengifo-Glasgow, ARNP

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1215436993
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9327949 Issued in FL
Practice address
5120 NW 173Rd Dr
Miami Gardens, FL 33055-3631
Phone
(786) 439-8828
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9327949 FL Primary
Nurse Practitioner 363L00000X 9327949 FL

Addresses

Primary practice location

5120 NW 173Rd Dr
Miami Gardens, FL 33055-3631

Mailing address

5120 NW 173Rd Dr
Miami Gardens, FL 33055-3631
Phone (786) 439-8828

Other practice location 1

1350 NW 14th St
Miami, FL 33125-1609
Phone (305) 575-3800

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
I20220617000386 FL Practitioner - Nurse Practitioner 7810376175 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9327949FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 4, 2022 Accepting new patients
Florida Department of Health CurrentSince Mar 4, 2022 Accepting new patients
Florida Department of Health Past Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

1600 NW 6th Ct
Bldg B
Florida City, FL 33034
Phone (786) 845-0164

1100 Simonton St
Key West, FL 33040
Phone (305) 293-1549

3333 Overseas Hwy
Marathon, FL 33050
Phone (305) 289-2718

1350 NW 14th St
#3
Miami, FL 33125
Phone (305) 575-3890

1350 NW 14th St
Miami, FL 33125
Phone (305) 575-3800

11865 SW 26th St
Ste J2
Miami, FL 33175
Phone (305) 575-3800

18255 Homestead Ave
Perrine, FL 33157
Phone (305) 252-4487

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1215436993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 NW 173RD DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553631",
            "telephone_number": "786-439-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 NW 173RD DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553631",
            "telephone_number": "786-439-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 NW 14th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251609",
            "country_code": "US",
            "telephone_number": "305-575-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENGIFO-GLASGOW",
        "first_name": "DESIREE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9327949",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9327949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.