Individual provider Active NPI

Leslly Johana Prado Rubi, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1255141305
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006079 Issued in FL
Practice address
47 SW 17TH St
Ocala, FL 34471-8104
Phone
(352) 512-9996
NPI assigned
Jan 10, 2025
Last updated
Feb 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 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 11006079 FL Primary

Addresses

Primary practice location

47 SW 17TH St
Ocala, FL 34471-8104

Mailing address

3992 SW 136TH Ave
Miami, FL 33175-3231

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
I20250612002481 FL Practitioner - Nurse Practitioner 1153832662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elyaman Medical Services PAGroup PAC ID 4284923467, 19 clinicians

Practice addresses (Care Compare)

1720 SE 16TH Ave
Suite 304
Ocala, FL 34471-4620
Phone (352) 857-8417

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006079FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recharge LLC CurrentSince Feb 23, 2025 Accepting new patients
Elyaman Medical Services PA Family CurrentSince Jun 23, 2025 Accepting new patients

Locations

1720 SE 16th Ave
Ste 304
Ocala, FL 34471
Phone (352) 559-0354

47 SW 17th St
Ocala, FL 34471
Phone (352) 364-4480

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1255141305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3992 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718104",
            "telephone_number": "352-512-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO RUBI",
        "first_name": "LESLLY",
        "middle_name": "JOHANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.