Individual provider Active NPI

Jandy Rodriguez Sr., AGACNP-BC

  • Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1366144776
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11025247 Issued in FL
Practice address
100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511
Phone
(305) 651-3038
Fax
(305) 655-1153
NPI assigned
Mar 20, 2023
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 11025247 FL Primary
Adult Health Nurse Practitioner 363LA2200X APRN11025247 FL

Addresses

Primary practice location

100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511

Mailing address

100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511
Phone (305) 651-3038

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
I20260108002674 FL Practitioner - Nurse Practitioner 3971089004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 NW 170 St
Suite 301
North Miami Beach, FL 33169

10451 NW 117TH Ave
Suite 200
Medley, FL 33178-1138

PO Box
Atlanta, GA 30384

PO Box
Suite 12493
Miami, FL 33101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025247FLMDNurse Practitioner
APRN11025247FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vincenzo Novara MD PA Single Specialty CurrentSince Dec 14, 2025 Accepting new patients

Locations

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

100 NW 170th St
Ste 301
North Miami Beach, FL 33169
Phone (305) 651-3033

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, 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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1366144776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695511",
            "telephone_number": "305-651-3038",
            "fax_number": "305-655-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695511",
            "telephone_number": "305-651-3038",
            "fax_number": "305-655-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JANDY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11025247",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11025247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.