Active NPI
Leydis Pereira
- Adult Health Nurse Practitioner
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11012722
- Practice address
- 8200 W Sunrise Blvd BLDG C
Plantation, FL 33322-5426 - Phone
- (954) 370-8585
- NPI assigned
- Mar 13, 2022
- Last updated
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F03210438 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 11012722 | FL | Primary |
Addresses
Primary practice location
8200 W Sunrise Blvd BLDG C
Plantation, FL 33322-5426
Mailing address
10253 NW 33Rd PL
Sunrise, FL 33351-6948
Phone (786) 715-4310
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SOAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.03 of 100
- Quality
- 86.97
- Promoting interoperability
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03210438 | FL | MD | Nurse Practitioner |
| 11012722 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lipkin & Toledo PA | Current | Accepting new patients | |
| South Florida Oncology and Hematology Consultants LLC | Current | Accepting new patients | |
| South Florida Oncology and Hematology Consultants LLC | Current | Accepting new patients |
Locations
4302 Alton Rd
Ste 420
Miami Beach, FL 33140
Phone (305) 531-1664
8200 W Sunrise Blvd
Bldg C
Plantation, FL 33322
Phone (954) 370-8585
7351 W Oakland Park Blvd
Ste 101
Tamarac, FL 33319
Phone (954) 748-2500
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.
-
dba Associates in Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Miami Beach, FL
- NPI 1578699518
-
- Hematology & Oncology Physician
- Plantation, FL
- NPI 1700891256
-
- Hematology & Oncology Physician
- Plantation, FL
- NPI 1952075640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1316695935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10253 NW 33RD PL",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516948",
"telephone_number": "786-715-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 W SUNRISE BLVD BLDG C",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225426",
"telephone_number": "954-370-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "LEYDIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-13",
"last_updated": "2023-03-15",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "F03210438",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "11012722",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SOAP",
"affiliation": "N",
"address_1": "9809 W Okeechobee Rd",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330162187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.