Active NPI
Vanessa Valles, APRN, FNP-C
- Nurse Practitioner
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9170390
- Practice address
- 880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171 - Phone
- (866) 849-0692
- Fax
- (888) 973-8821
- NPI assigned
- Aug 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5023694 | NC | |
| Nurse Practitioner | 363L00000X | APRN.CNP.0038716 | OH | |
| Nurse Practitioner | 363L00000X | 1110297 | TX | |
| Nurse Practitioner | 363L00000X | 36439 | TN | |
| Nurse Practitioner | 363L00000X | ARNP9170390 | FL | Primary |
| Nurse Practitioner | 363L00000X | 3-001615 | AL |
Addresses
Primary practice location
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009586000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL, TX, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5023694 | NC | MD | Nurse Practitioner |
| APRN.CNP.0038716 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical Group of Texas Inc | Current | Accepting new patients | |
| Devoted Medical Group Professional Corporation | Current | Accepting new patients | |
| St Anthony'S Primary Care LLC | Current | Accepting new patients |
Locations
880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612
560 Jackson St N
Ste 302
St Petersburg, FL 33705
Phone (727) 820-7701
116 1st St N
St Petersburg, FL 33701
Phone (727) 895-5210
1201 5th Ave N
Ste 408
St Petersburg, FL 33705
Phone (727) 894-3733
509 Jackson St N
St Petersburg, FL 33705
Phone (727) 820-7800
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
3200 West End Ave
Nashville, TN 37203
Phone (615) 510-1646
1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202
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.
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
TN
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1982202800
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1629029897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1487088043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 SW 145TH AVE STE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276171",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLES",
"first_name": "VANESSA",
"name_prefix": "Ms.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5023694",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0038716",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1110297",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "36439",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9170390",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "3-001615",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009586000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.