Individual provider Active NPI

Kelsey Ruiz

  • Pediatric Nurse Practitioner
  • Miami, FL
National Provider Identifier
1437907185
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11029260 Issued in FL
Practice address
175 SW 7TH St Ste 2107
Miami, FL 33130-2962
Phone
(786) 228-9070
NPI assigned
May 8, 2024
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X APRN11029260 FL Primary

Addresses

Primary practice location

175 SW 7TH St Ste 2107
Miami, FL 33130-2962

Mailing address

2906 NW 124TH Way
Sunrise, FL 33323-5259
Phone (954) 740-2376

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

State licenses

LicenseStateTypeSpecialty
APRN11029260FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simoni Baid MD PLLC Multi-Specialty CurrentSince May 12, 2024 Accepting new patients

Locations

175 SW 7th St
Ste 2107
Miami, FL 33130
Phone (786) 228-9070

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

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, 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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1437907185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 NW 124TH WAY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333235259",
            "telephone_number": "954-740-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SW 7TH ST STE 2107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302962",
            "telephone_number": "786-228-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11029260",
            "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 May 8, 2024; 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.