Individual provider Active NPI

Dianelys Rodriguez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1336907591
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11031769 Issued in FL
Practice address
3180 S Ocean Dr Apt 117
Hallandale Beach, FL 33009-7247
Phone
(786) 541-6231
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11031769 FL Primary

Addresses

Primary practice location

3180 S Ocean Dr Apt 117
Hallandale Beach, FL 33009-7247

Mailing address

351 SW 123Rd Ave
Miami, FL 33184-1527

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
I20240505000083 FL Practitioner - Nurse Practitioner 0941640114 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Amp Group, IncGroup PAC ID 6305107558, 5 clinicians
American Rehabilitation Medical Center CorpGroup PAC ID 8224483334, 4 clinicians

Practice addresses (Care Compare)

2464 SW 22ND St
Miami, FL 33145-3419
Phone (305) 204-9355

8080 W Flagler St
Suite 2a
Miami, FL 33144-2100
Phone (786) 615-2640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031769FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 23, 2025 Accepting new patients
American Rehabilitation Medical Center Corp CurrentSince Oct 1, 2024 Accepting new patients
Envision Mindcare CurrentSince Mar 24, 2024 Accepting new patients
Amp Group, Inc. Psychiatric/Mental Health CurrentSince Oct 14, 2024 Accepting new patients

Locations

12 SE 7th St
Ste 705
Ft Lauderdale, FL 33301
Phone (786) 220-1969

8080 W Flagler St
Ste 2A
Miami, FL 33144
Phone (305) 631-1171

1411 SW 22nd St
Miami, FL 33145
Phone (305) 204-9355

3000 Biscayne Blvd
Ste 216
Miami, FL 33137
Phone (786) 220-1969

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1336907591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SW 123RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 S OCEAN DR APT 117",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097247",
            "telephone_number": "786-541-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANELYS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11031769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.