Active NPI
Vita RN, LLC
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1215778683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITA RN, LLC
- Practice address
- 13205 SW 137TH Ave Ste 204
Miami, FL 33186-5334 - Phone
- (786) 548-9787
- Fax
- (305) 735-3599
- NPI assigned
- Jun 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jocelyn Luquez, APRN FNP-C
- Title
- Owner
- Phone
- (786) 548-9787
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
13205 SW 137TH Ave Ste 204
Miami, FL 33186-5334
Mailing address
13205 SW 137TH Ave Ste 204
Miami, FL 33186-5334
Phone (786) 548-9787
Other names 1
- Glow Medspa Miami
National Provider Directory
National Provider DirectoryLocations
13205 SW 137th Ave
Ste 204
Miami, FL 33186
Phone (305) 827-5076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Nurse Practitioner
- Miami, FL
- NPI 1164142014
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717200000000",
"number": "1215778683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13205 SW 137TH AVE STE 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865334",
"telephone_number": "786-548-9787",
"fax_number": "305-735-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13205 SW 137TH AVE STE 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865334",
"telephone_number": "786-548-9787",
"fax_number": "305-735-3599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITA RN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-01",
"last_updated": "2024-06-01",
"certification_date": "2024-06-01",
"status": "A",
"authorized_official_last_name": "LUQUEZ",
"authorized_official_first_name": "JOCELYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-548-9787",
"authorized_official_credential": "APRN FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glow Medspa Miami",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.