Individual provider Active NPI

Jeannette De la Torre, NP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1285995654
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9280420 Issued in FL
Practice address
15 NW 121St CT
Miami, FL 33182-1309
Phone
(786) 554-2796
Fax
(305) 317-6011
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN 9280420 FL
Nurse Practitioner 363L00000X APRN9280420 FL Primary

Addresses

Primary practice location

15 NW 121St CT
Miami, FL 33182-1309

Mailing address

15 NW 121St CT
Miami, FL 33182-1309
Phone (786) 554-2796

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
I20131105001385 FL Practitioner - Nurse Practitioner 9032344718 Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9280420FLMDNurse Practitioner
RN 9280420FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
De Jeannette Healthcare Corp Nurse Practitioner CurrentSince Jun 15, 2025 Accepting new patients
Delight Medical Clinic PastSince Jul 19, 2010 Accepting new patients
Miami Care Medical Center Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1285995654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NW 121ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821309",
            "telephone_number": "786-554-2796",
            "fax_number": "305-317-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NW 121ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821309",
            "telephone_number": "786-554-2796",
            "fax_number": "305-317-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "JEANNETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "RN 9280420",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9280420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.