Individual provider Active NPI

Karina Andrea Fernandez Rodriguez, APRN

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1316796618
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032835 Issued in FL
Practice address
9472 NW 120TH St Apt 721
Hialeah Gardens, FL 33018-4196
Phone
(786) 774-0424
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 11032835 FL Primary

Addresses

Primary practice location

9472 NW 120TH St Apt 721
Hialeah Gardens, FL 33018-4196

Mailing address

9472 NW 120TH St Apt 721
Hialeah Gardens, FL 33018-4196
Phone (786) 774-0424

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
I20250102003588 FL Practitioner - Nurse Practitioner 8820525892 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032835FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince Dec 16, 2024 Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

Organizations & group practices 1

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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1316796618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9472 NW 120TH ST APT 721",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184196",
            "telephone_number": "786-774-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9472 NW 120TH ST APT 721",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184196",
            "telephone_number": "786-774-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ RODRIGUEZ",
        "first_name": "KARINA",
        "middle_name": "ANDREA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.