Individual provider Active NPI

Yudith Lopez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1356013692
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015480 Issued in FL
Practice address
11001 SW 161St PL
Miami, FL 33196-3675
Phone
(786) 271-4863
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 11015480 FL Primary

Addresses

Primary practice location

11001 SW 161St PL
Miami, FL 33196-3675

Mailing address

11001 SW 161St PL
Miami, FL 33196-3675
Phone (786) 271-4863

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
I20220521000161 FL Practitioner - Nurse Practitioner 5294112710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Familia Mental Health IncGroup PAC ID 5092104216, 3 clinicians

Practice addresses (Care Compare)

1550 W 84TH St
Suite 31
Hialeah, FL 33014-3355
Phone (305) 901-1191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015480FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia Mental Health Inc CurrentSince Mar 1, 2024 Accepting new patients
Sky Lab Diagnostic Center LLC PastSince Jul 23, 2023 Accepting new patients

Locations

1550 W 84th St
Ste 31
Hialeah, FL 33014
Phone (305) 823-3461

Organizations & group practices 2

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1356013692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 SW 161ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963675",
            "telephone_number": "786-271-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 SW 161ST PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963675",
            "telephone_number": "786-271-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "YUDITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.