Individual provider Active NPI

Reynier Tapanes Rodriguez, APRN

  • Family Nurse Practitioner
  • Wilton Manors, FL
National Provider Identifier
1376016220
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000564 Issued in FL
Practice address
1401 NE 26TH St
Wilton Manors, FL 33305-1321
Phone
(954) 765-6239
Fax
(954) 827-7780
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 APRN11000564 FL Primary

Addresses

Primary practice location

1401 NE 26TH St
Wilton Manors, FL 33305-1321

Mailing address

1401 NE 26TH St
Wilton Manors, FL 33305-1321
Phone (954) 765-6239

Other practice location 1

11398 Quail Roost Dr
Miami, FL 33157-6551
Phone (305) 253-3355

Other practice location 2

6445 SW 130th Pl Apt 606
Miami, FL 33183-5609
Phone (786) 294-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: reyniert@cerner.directbaptisthealth.com

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376016220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051321",
            "telephone_number": "954-765-6239",
            "fax_number": "954-827-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051321",
            "telephone_number": "954-765-6239",
            "fax_number": "954-827-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11398 Quail Roost Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331576551",
            "country_code": "US",
            "telephone_number": "305-253-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6445 SW 130th Pl Apt 606",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331835609",
            "country_code": "US",
            "telephone_number": "786-294-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPANES RODRIGUEZ",
        "first_name": "REYNIER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.