Individual provider Active NPI

Emanuella Rabaev

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1558196964
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035087 Issued in FL
Practice address
2800 SW 27TH Ter Apt 1104
Miami, FL 33133-3077
Phone
(347) 634-3934
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11035087 FL Primary

Addresses

Primary practice location

2800 SW 27TH Ter Apt 1104
Miami, FL 33133-3077

Mailing address

2800 SW 27TH Ter Apt 1104
Miami, FL 33133-3077
Phone (347) 634-3934

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
I20250206002902 FL Practitioner - Nurse Practitioner 3072043959 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Group Miami Beach LLCGroup PAC ID 7618379421, 2 clinicians
Doctors Group Miami Beach LLCGroup PAC ID 8921543992, 2 clinicians

Practice addresses (Care Compare)

11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 815-0693

1190 NW 95TH St
Suite 301
Miami, FL 33150-2066
Phone (305) 815-0693

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035087FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Group Miami Beach LLC CurrentSince Jun 13, 2025 Accepting new patients
Physician Group Miami Beach LLC CurrentSince Jun 13, 2025 Accepting new patients
Nova Medical Services - Pulmonary & Critical Care Division LLC CurrentSince Jun 9, 2025 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1190 NW 95th St
Ste 301
Miami, FL 33150
Phone (305) 815-0693

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1558196964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW 27TH TER APT 1104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333077",
            "telephone_number": "347-634-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SW 27TH TER APT 1104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333077",
            "telephone_number": "347-634-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABAEV",
        "first_name": "EMANUELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.