Individual provider Active NPI

Leydis Pereira

  • Adult Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1316695935
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11012722 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.03 of 100Reported as group
Quality
86.97
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03210438FLMDNurse Practitioner
11012722FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lipkin & Toledo PA CurrentSince Apr 1, 2022 Accepting new patients
South Florida Oncology and Hematology Consultants LLC CurrentSince Jan 1, 2023 Accepting new patients
South Florida Oncology and Hematology Consultants LLC CurrentSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.