Individual provider Active NPI

Gloria Esperanza Laverde, FNP

  • Family Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1386330397
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025790 Issued in FL
Practice address
800 SE 4TH Ave Ste 502
Hallandale Beach, FL 33009-6494
Phone
(305) 931-8844
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11025790 FL Primary

Addresses

Primary practice location

800 SE 4TH Ave Ste 502
Hallandale Beach, FL 33009-6494

Mailing address

3370 NE 190TH St Apt 1105
Aventura, FL 33180-2408
Phone (786) 859-6076

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11025790FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Single Specialty PastSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1386330397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 NE 190TH ST APT 1105",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802408",
            "telephone_number": "786-859-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE 4TH AVE STE 502",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096494",
            "telephone_number": "305-931-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERDE",
        "first_name": "GLORIA",
        "middle_name": "ESPERANZA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.