Individual provider Active NPI

Arleny Perez Ceballo, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1255191136
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031892 Issued in FL
Practice address
7300 SW 13TH St
Miami, FL 33144-5308
Phone
(786) 614-9463
NPI assigned
Mar 19, 2024
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 11031892 FL Primary
Primary Care Nurse Practitioner 363LP2300X APRN11031892 FL

Addresses

Primary practice location

7300 SW 13TH St
Miami, FL 33144-5308

Mailing address

7300 SW 13TH St
Miami, FL 33144-5308
Phone (786) 614-9463

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
I20240522001729 FL Practitioner - Nurse Practitioner 1557703550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians

Practice addresses (Care Compare)

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Lives Mental Health Corp CurrentSince Mar 3, 2025 Accepting new patients
Quantum Practitioner Services LLC Family CurrentSince Apr 3, 2024 Accepting new patients
Vitality Ageless Center LLC CurrentSince Jun 8, 2024 Accepting new patients

Locations

600 NW 35th Ave
Ste 203
Miami, FL 33125
Phone (305) 642-3326

555 W Granada Blvd
Ste E2
Ormond Beach, FL 32174
Phone (386) 235-6136

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

Organizations & group practices 3

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1255191136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 13TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331445308",
            "telephone_number": "786-614-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 13TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331445308",
            "telephone_number": "786-614-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CEBALLO",
        "first_name": "ARLENY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031892",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11031892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.