Active NPI
Ivan Grenier, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11008772
- Practice address
- 5673 SW 137TH Ave
Miami, FL 33183-1101 - Phone
- (305) 385-3949
- NPI assigned
- Aug 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11008772 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11008772 | FL | Primary |
Addresses
Primary practice location
5673 SW 137TH Ave
Miami, FL 33183-1101
Mailing address
14104 SW 42ND Ter
Miami, FL 33175-3644
Phone (786) 587-4549
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5673 SW 137TH Ave
Miami, FL 33183-1101
Phone (305) 385-3949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008772 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Medical Group Corp | Multi-Specialty | Current | Accepting new patients |
| South Health LLC | Multi-Specialty | Current | Accepting new patients |
| Psychological & Behavioral Therapy Services, Inc | Multi-Specialty | Past | Accepting new patients |
Locations
5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142
Phone (239) 304-0054
2001 NW 107th Ave
Ste 412
Doral, FL 33172
Phone (305) 385-3949
5673 SW 137th Ave
Miami, FL 33183
Phone (305) 385-3949
7959 NW 2nd St
Miami, FL 33126
Phone (305) 267-6060
3485 W Flagler St
Ste 300
Miami, FL 33135
Phone (305) 418-0272
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.
-
- Counseling Psychologist
- Miami, FL
- NPI 1003537788
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1295348654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14104 SW 42ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753644",
"telephone_number": "786-587-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5673 SW 137TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331831101",
"telephone_number": "305-385-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENIER",
"first_name": "IVAN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-26",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008772",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11008772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.