Individual provider Active NPI

Ibis Mercedes Menendez

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1447616644
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9388484 Issued in FL
Practice address
7315 NW 36TH St
Miami, FL 33166-6704
Phone
(786) 345-7734
Fax
(786) 231-6977
NPI assigned
Jan 5, 2016
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9388484 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9388484 FL Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

7315 NW 36TH St
Miami, FL 33166-6704

Mailing address

8476 SW 29TH St
Miramar, FL 33025-2966
Phone (305) 951-4558

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
I20190708002543 FL Practitioner - Nurse Practitioner 7517243736 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Medical Rehabilitation CorpGroup PAC ID 5698082113, 3 clinicians
Comforting Aid, LLCGroup PAC ID 3476948779, 6 clinicians

Practice addresses (Care Compare)

1840 W 49TH St
Suite 607
Hialeah, FL 33012-2962
Phone (305) 527-7976

760 NW 107TH Ave
Suite 208
Miami, FL 33172-3155
Phone (786) 571-1777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9388484FLMDFamily Nurse Practitioner
APRN9388484FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Start Community Wellness Center Inc CurrentSince Aug 9, 2025 Accepting new patients
Therapy Medical Rehabilitation Corp CurrentSince Feb 24, 2025 Accepting new patients
Lake Worth Medical Clinic Corp Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Med-Well Healthcare Specialists Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

6295 Lake Worth Rd
Ste 30
Greenacres, FL 33463
Phone (561) 377-7006

1840 W 49th St
Ste 607
Hialeah, FL 33012
Phone (305) 527-7976

5911 NW 173rd Dr
Unit 6
Hialeah, FL 33015
Phone (786) 876-5198

2450 SW 137th Ave
Ste 206
Miami, FL 33175
Phone (305) 381-5420

Organizations & group practices 5

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1447616644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8476 SW 29TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252966",
            "telephone_number": "305-951-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666704",
            "telephone_number": "786-345-7734",
            "fax_number": "786-231-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "IBIS",
        "middle_name": "MERCEDES",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9388484",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9388484",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.