Individual provider Active NPI

Amanda Hernandez Valle

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1467128686
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11039241 Issued in FL
Practice address
4110 NW 185TH St
Miami Gardens, FL 33055-2843
Phone
(305) 335-7336
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 APRN11039241 FL Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4110 NW 185TH St
Miami Gardens, FL 33055-2843

Mailing address

4110 NW 185TH St
Miami Gardens, FL 33055-2843

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
I20250602003125 FL Practitioner - Nurse Practitioner 6204345150 Reassigns benefits to 3 organizations
Practice locations: Miami Gardens, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Luisa Vega DNP LLCGroup PAC ID 3577872605, 83 clinicians
Florida Personal Management LLCGroup PAC ID 5799101499, 6 clinicians

Practice addresses (Care Compare)

1044 E Brandon Blvd
Suite 1And2
Brandon, FL 33511-5509
Phone (813) 403-4423

22133 S Dixie Hwy
Miami, FL 33170-2840
Phone (786) 504-3119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11039241FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zodu Counseling Services LLC CurrentSince Sep 26, 2025 Accepting new patients
Florida Personal Management LLC CurrentSince Dec 8, 2025 Accepting new patients

Locations

2981 W State Road 434
Ste 300
Longwood, FL 32779
Phone (407) 559-7093

13155 SW 134th St
Ste 202
Miami, FL 33186
Phone (786) 471-1929

22133 S Dixie Hwy
Miami, FL 33170
Phone (786) 504-3119

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1467128686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 NW 185TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 NW 185TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552843",
            "telephone_number": "305-335-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ VALLE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11039241",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.