Individual provider Active NPI

Gretell Baster Rodriguez, APRN-FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1235836032
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023600 Issued in FL
Practice address
3053 W Flagler St
Miami, FL 33135-1257
Phone
(786) 534-7899
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 11023600 FL Primary

Addresses

Primary practice location

3053 W Flagler St
Miami, FL 33135-1257

Mailing address

4580 NW 79TH Ave Apt 1a
Doral, FL 33166-6326
Phone (305) 490-8252

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
I20251002000410 FL Practitioner - Nurse Practitioner 8628574282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4580 NW 79TH Ave
Apt 1a
Doral, FL 33166-6326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023600FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Medical Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Salus Health LLC Past Accepting new patients

Locations

8302 NW 103rd St
Ste 201
Hialeah Gardens, FL 33016
Phone (786) 420-5111

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, 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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1235836032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 NW 79TH AVE APT 1A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666326",
            "telephone_number": "305-490-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351257",
            "telephone_number": "786-534-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GRETELL",
        "middle_name": "BASTER",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.