Individual provider Active NPI

Tailen Lorenzo

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1235768565
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006583 Issued in FL
Practice address
8940 N Kendall Dr Ste 802E
Miami, FL 33176-2151
Phone
(305) 595-4041
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 11006583 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr Ste 802E
Miami, FL 33176-2151

Mailing address

9960 NW 116TH Way Ste 13
Medley, FL 33178-1175
Phone (786) 924-1311

Other practice location 1

925 NE 30th Ter Ste 318
Homestead, FL 33033-7602
Phone (305) 595-4041

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
I20210524001398 FL Practitioner - Nurse Practitioner 2163821125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006583FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP CurrentSince Jul 1, 2023 Accepting new patients
Tampa Neurology Associates PastSince Jul 21, 1996 Accepting new patients

Locations

925 NE 30th Ter
Ste 318
Homestead, FL 33033
Phone (305) 595-4041

4241 NW American Ln
Lake City, FL 32055
Phone (386) 288-5311

9960 NW 116th Way
Ste 13
Medley, FL 33178

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

2919 W Swann Ave
Ste 401
Tampa, FL 33609
Phone (813) 872-1548

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1235768565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "786-924-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 802E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762151",
            "telephone_number": "305-595-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 NE 30th Ter Ste 318",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337602",
            "country_code": "US",
            "telephone_number": "305-595-4041",
            "fax_number": "305-596-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "TAILEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.