Individual provider Active NPI

Yudith Pando

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1568959682
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04180293 Issued in FL
Practice address
6401 NW 27TH Ave
Miami, FL 33147-7734
Phone
(305) 960-7668
Fax
(786) 310-7347
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ARNP9398403 FL
Family Nurse Practitioner 363LF0000X F04180293 FL Primary

Addresses

Primary practice location

6401 NW 27TH Ave
Miami, FL 33147-7734

Mailing address

7925 NW 12TH St Ste 201
Doral, FL 33126-1821
Phone (305) 874-3909

Other practice location 1

5850 W Flagler St
Miami, FL 33144-3363
Phone (305) 263-9590

Other practice location 2

15529 Bull Run Rd
Miami Lakes, FL 33014-7004
Phone (305) 328-8922

Other practice location 3

1738 W 49th St Ste 10
Hialeah, FL 33012-3457
Phone (305) 698-8432

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
I20181212002138 FL Practitioner - Nurse Practitioner 2961747357 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9398403FLMDFamily Medicine Physician
F04180293FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somos Vida Medical Center, LLC Single Specialty CurrentSince May 6, 2021 Accepting new patients

Locations

4910 E 2nd Ave
Hialeah, FL 33013
Phone (305) 400-9454

4064 SW 69th Ave
Miramar, FL 33023
Phone (954) 239-8847

Organizations & group practices 1

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1568959682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261821",
            "telephone_number": "305-874-3909",
            "fax_number": "305-874-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477734",
            "telephone_number": "305-960-7668",
            "fax_number": "786-310-7347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331443363",
            "country_code": "US",
            "telephone_number": "305-263-9590",
            "fax_number": "305-263-9657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15529 Bull Run Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330147004",
            "country_code": "US",
            "telephone_number": "305-328-8922",
            "fax_number": "786-224-6489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 W 49th St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123457",
            "country_code": "US",
            "telephone_number": "305-698-8432",
            "fax_number": "305-698-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDO",
        "first_name": "YUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9398403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F04180293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.