Individual provider Active NPI

Raysa Redondo, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1477034346
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9366959 Issued in FL
Practice address
5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone
(954) 734-2000
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9366959 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9366959 FL Primary

Addresses

Primary practice location

5757 N Dixie Hwy
Oakland Park, FL 33334-4135

Mailing address

12401 SW 1St PL
Plantation, FL 33325-2715
Phone (954) 967-5425

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
I20190404000696 FL Practitioner - Nurse Practitioner 0547501355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Lauderdale Hospital IncGroup PAC ID 7911983853, 10 clinicians

Practice addresses (Care Compare)

5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone (954) 734-2000

Merit-based Incentive Payment System (MIPS)

Final score
95.64 of 100Reported as group
Quality
69.31
Improvement activities
40
Cost
97.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9366959FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Lauderdale Hospital Inc. CurrentSince May 10, 2024 Accepting new patients
Amed USA LLC Past Accepting new patients

Locations

5757 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 463-4321

Organizations & group practices 2

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1477034346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 SW 1ST PL",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252715",
            "telephone_number": "954-967-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344135",
            "telephone_number": "954-734-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDONDO",
        "first_name": "RAYSA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9366959",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9366959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.