Individual provider Active NPI

Sofia Kelly Terry, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1346075421
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11042368 Issued in FL
Practice address
101 NW 156TH St
Miami, FL 33169-6728
Phone
(786) 269-6486
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 11042368 FL Primary

Addresses

Primary practice location

101 NW 156TH St
Miami, FL 33169-6728

Mailing address

101 NW 156TH St
Miami, FL 33169-6728
Phone (786) 269-6486

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
I20251106005373 FL Practitioner - Nurse Practitioner 4486144417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 W Gore St
Suite 602
Orlando, FL 32806-1051
Phone (407) 299-7333

1002 S Dillard St
Suite 114
Winter Garden, FL 34787-3991
Phone (407) 299-7333

1189 Blackwood Ave
Ocoee, FL 34761-4518
Phone (407) 299-7333

132 Benmore Dr
Winter Park, FL 32792-4101
Phone (407) 299-7333

519 N Dixie Fwy
New Smyrna Beach, FL 32168-6707
Phone (407) 299-7333

815 Oakley Seaver Dr
Clermont, FL 34711-1968
Phone (407) 299-7333

844 N Stone St
Suite 204
Deland, FL 32720-3208
Phone (407) 299-7333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11042368FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. CurrentSince Oct 6, 2025 Accepting new patients

Locations

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1346075421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW 156TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696728",
            "telephone_number": "786-269-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 156TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696728",
            "telephone_number": "786-269-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SOFIA",
        "middle_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.