Individual provider Active NPI

Ana Diez Sampedro, PHD, MSN, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1275013898
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9355901 Issued in FL
Practice address
1921 SW 33Rd CT
Miami, FL 33145
Phone
(203) 927-6338
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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 9355901 FL Primary

Addresses

Primary practice location

1921 SW 33Rd CT
Miami, FL 33145

Mailing address

1921 SW 33Rd CT
Miami, FL 33145-2225
Phone (203) 927-6338

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
I20190523001972 FL Practitioner - Nurse Practitioner 1759624281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Jewish Health Systems IncGroup PAC ID 6507856614, 20 clinicians

Practice addresses (Care Compare)

5200 NE 2ND Ave
Miami, FL 33137-2706
Phone (305) 762-1387

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9355901FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Jewish Health Systems, Inc. CurrentSince Jan 12, 2019 Accepting new patients
MJH Mind Group LLC CurrentSince Dec 4, 2025 Accepting new patients

Locations

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

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.

Hospital & facility affiliations 1

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1275013898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 SW 33RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452225",
            "telephone_number": "203-927-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SW 33RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "203-927-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ SAMPEDRO",
        "first_name": "ANA",
        "credential": "PHD, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9355901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.