Individual provider Active NPI

Yanet Moreda Mendez

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1477167799
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11008996 Issued in FL
Practice address
14433 SW 107TH Ter
Miami, FL 33186-2938
Phone
(786) 507-9607
NPI assigned
Sep 3, 2020
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11008996 FL
Gerontology Nurse Practitioner 363LG0600X 11008996 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11008996 FL Primary

Addresses

Primary practice location

14433 SW 107TH Ter
Miami, FL 33186-2938

Mailing address

14433 SW 107TH Ter
Miami, FL 33186-2938
Phone (786) 507-9607

Other practice location 1

1190 37th St
Vero Beach, FL 32960-6507
Phone (772) 567-4311

Other practice location 2

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986-1719
Phone (772) 567-4311

Other practice location 3

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (772) 567-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240717004694 FL Practitioner - Nurse Practitioner 8123563814 Reassigns benefits to 5 organizations
I20250313001695 TX Practitioner - Nurse Practitioner 8123563814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southtown Psychiatry PLLCGroup PAC ID 3274061718, 11 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 343-5121

5075 Innovation Way
Jupiter, FL 33458-6101
Phone (561) 935-3002

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008996FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Aug 18, 2025 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Aug 18, 2025 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Aug 18, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 12, 2024 Accepting new patients
Southtown Psychiatry PLLC CurrentSince Sep 10, 2024 Accepting new patients
Southtown Psychiatry PLLC CurrentSince Jan 2, 2025 Accepting new patients

Locations

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1095 NW Saint Lucie West Blvd
Ste 101
Port Saint Lucie, FL 34986

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

1000 36th St
Ste 5105
Vero Beach, FL 32960

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

909 NE Loop 410
Ste 600
San Antonio, TX 78209
Phone (210) 332-2727

Organizations & group practices 6

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1477167799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 SW 107TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862938",
            "telephone_number": "786-507-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 SW 107TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862938",
            "telephone_number": "786-507-9607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 37th St",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606507",
            "country_code": "US",
            "telephone_number": "772-567-4311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 NW Saint Lucie West Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861719",
            "country_code": "US",
            "telephone_number": "772-567-4311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 Cleveland Clinic Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313609",
            "country_code": "US",
            "telephone_number": "772-567-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREDA MENDEZ",
        "first_name": "YANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11008996",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11008996",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11008996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.