Individual provider Active NPI

Ingrid Tatiana Duran Molina, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1215527965
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11010792 Issued in FL
Practice address
2010 NW 150TH Ave Ste 120
Pembroke Pines, FL 33028-2888
Phone
(954) 719-6280
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 APRN11010792 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11010792 FL Primary

Addresses

Primary practice location

2010 NW 150TH Ave Ste 120
Pembroke Pines, FL 33028-2888

Mailing address

16151 SW 83Rd St
Miami, FL 33193-3051
Phone (786) 523-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250211002919 FL Practitioner - Nurse Practitioner 3173053709 Reassigns benefits to 2 organizations
I20250225001886 WA Practitioner - Nurse Practitioner 3173053709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych 4 U LLCGroup PAC ID 0547709628, 9 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

2010 NW 150TH Ave
Suite 120
Pembroke Pines, FL 33028-2888
Phone (954) 719-6280

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010792FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 10, 2025 Accepting new patients
Psych 4 U LLC CurrentSince Oct 30, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2010 NW 150th Ave
Ste 120
Pembroke Pnes, FL 33028
Phone 9544319838114

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 2

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1215527965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 SW 83RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933051",
            "telephone_number": "786-523-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-719-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN MOLINA",
        "first_name": "INGRID",
        "middle_name": "TATIANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010792",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11010792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.