Individual provider Active NPI

Deborah Rhoda Caballero Rodriguez

  • Psychiatric/Mental Health Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1578280475
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11022395 Issued in FL
Practice address
6325 N Highway 27 Ste 201
Sebring, FL 33870-8226
Phone
(863) 382-9600
Fax
(863) 382-0107
NPI assigned
Oct 21, 2022
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 APRN11022395 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11022395 FL Primary

Addresses

Primary practice location

6325 N Highway 27 Ste 201
Sebring, FL 33870-8226

Mailing address

1404 Tropical Oasis Ave
Plant City, FL 33565-5963

Other practice location 1

1404 Tropical Oasis Ave
Plant City, FL 33565-5963
Phone (863) 382-3914

Other practice location 2

6700 Florida Ave S, # 33
Lakeland, FL 33813-2101
Phone (863) 450-3067

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
I20221105000076 FL Practitioner - Nurse Practitioner 0244607117 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022395FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Nov 1, 2022 Accepting new patients
Yantra Psychiatric Services, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Nov 1, 2022 Accepting new patients
Metanoia Wellness Care LLC CurrentSince Jun 23, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

4715 S Florida Ave
Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

6700 S Florida Ave
Ste 33
Lakeland, FL 33813
Phone (863) 330-4097

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

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, 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": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1578280475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 TROPICAL OASIS AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 N HIGHWAY 27 STE 201",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708226",
            "telephone_number": "863-382-9600",
            "fax_number": "863-382-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Tropical Oasis Ave",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335655963",
            "country_code": "US",
            "telephone_number": "863-382-3914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 Florida Ave S, # 33",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132101",
            "country_code": "US",
            "telephone_number": "863-450-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO RODRIGUEZ",
        "first_name": "DEBORAH",
        "middle_name": "RHODA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022395",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11022395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.