Individual provider Active NPI

Lisbeth Taveras, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366384000
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11046647 Issued in FL
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

Updated by the provider on Aug 25, 2026

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11046647FLMDPsychiatric/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

Verify at the official NPI Registry.