Glenda Farrada Felico

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11032540 Issued in FL

Practice address

14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532

Phone

(305) 827-2822

NPI assigned

Oct 10, 2017

Reactivated

May 24, 2024

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Personal Care Medical Group LLCGroup PAC ID 5092903294, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Personal Care Medical Group LLC

  • Health Service Clinic/Center
  • North Miami Beach, FL
  • NPI 1992027486
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1265942726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18199 SW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294349",
            "telephone_number": "305-833-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 310",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161532",
            "telephone_number": "305-827-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRADA FELICO",
        "first_name": "GLENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "deactivation_date": "2024-05-02",
        "reactivation_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falling Leaves Recovery LLC (Fallen Leaves Recovery LLC)
• Family Empowerment Mental Health Center
• Family Quality Health
• Family Quality Health
• Sheila Fanjul
• Daria Farrat Diaz de Villegas
• Yasmin Hambaroush Fattah, M.D
• Dunya Felipe, APRN
• Sophia M Ferguson, ARNP
• Arianne Feria

• Family Nurse Practitioner in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.