Active NPI
Lisbeth Taveras, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1366384000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11046647
- Practice address
- 21219 NW 14TH PL
Miami, FL 33169-7437 - Phone
- (786) 546-6791
- NPI assigned
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11046647 | FL | Primary |
Addresses
Primary practice location
21219 NW 14TH PL
Miami, FL 33169-7437
Mailing address
21219 NW 14TH PL Apt 725
Miami, FL 33169-7469
Phone (786) 546-6791
Other practice location 1
8650 W Sample Rd
Coral Springs, FL 33065-4431
Phone (305) 783-3677
Other practice location 2
1111 12th St Ste 101
Key West, FL 33040-4084
Phone (305) 783-3677
Other practice location 3
9050 Pines Blvd Ste 150
Pembroke Pines, FL 33024-6400
Phone (954) 872-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11046647 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1366384000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21219 NW 14TH PL APT 725",
"city": "MIAMI",
"state": "FL",
"postal_code": "331697469",
"telephone_number": "786-546-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21219 NW 14TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331697437",
"telephone_number": "786-546-6791"
}
],
"practiceLocations": [
{
"address_1": "8650 W Sample Rd",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330654431",
"country_code": "US",
"telephone_number": "305-783-3677",
"fax_number": "305-407-3395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 12th St Ste 101",
"address_purpose": "LOCATION",
"city": "Key West",
"state": "FL",
"postal_code": "330404084",
"country_code": "US",
"telephone_number": "305-783-3677",
"fax_number": "305-407-3395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9050 Pines Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330246400",
"country_code": "US",
"telephone_number": "954-872-0555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAVERAS",
"first_name": "LISBETH",
"credential": "APRN, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11046647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.