Individual provider Active NPI

Odalys Cabrera-Pereira

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1427466390
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9305610 Issued in FL
Practice address
336 NW 5TH St
Miami, FL 33128-1616
Phone
(305) 577-4840
NPI assigned
Jul 23, 2014
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9305610 FL Primary
Primary Care Nurse Practitioner 363LP2300X ARNP9305610 FL

Addresses

Primary practice location

336 NW 5TH St
Miami, FL 33128-1616

Mailing address

3191 W 77TH PL
Hialeah, FL 33018-3856
Phone (866) 821-7437

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
I20191231000322 FL Practitioner - Nurse Practitioner 0749614691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Therapy and Medical Care Center IncGroup PAC ID 1557598182, 7 clinicians
Camillus Health Concern IncGroup PAC ID 4688575210, 15 clinicians

Practice addresses (Care Compare)

1140 W 50TH St
Suite 301
Hialeah, FL 33012-3411
Phone (305) 827-0208

336 NW 5TH St
Miami, FL 33128-1616
Phone (305) 477-4840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9305610FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camillus Health Concern, Inc. CurrentSince Nov 7, 2019 Accepting new patients
Wellness Therapy & Medical Care Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Camillus Health Concern Inc CurrentSince Nov 7, 2019 Accepting new patients

Locations

1140 W 50th St
Ste 301
Hialeah, FL 33012
Phone (305) 558-2930

336 NW 5th St
Miami, FL 33128
Phone (305) 477-4840

8040 NW 155th St
Miami Lakes, FL 33016
Phone (305) 827-0208

Organizations & group practices 3

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1427466390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 W 77TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330183856",
            "telephone_number": "866-821-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NW 5TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281616",
            "telephone_number": "305-577-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA-PEREIRA",
        "first_name": "ODALYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9305610",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9305610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.