Keila Fernandez Domingues, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024043664 Issued in FL

Practice address

4300 Alton Rd
Miami Beach, FL 33140-2948

Phone

(305) 674-2071

NPI assigned

May 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Sinai Vascular Institute, LLCGroup PAC ID 2567866296, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mount Sinai Vascular Institute, LLC

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
  • NPI 1871160879
  Medicare reassignment Care Compare group NPD
• Mount Sinai Vascular Institute, LLC

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
  • NPI 1720757602
  NPD (past)

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

• Mount Sinai Medical Center of Florida, Inc

  • General Acute Care Hospital
  • Miami Beach, FL
  • NPI 1912964768
  Care Compare affiliation

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1598505752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 NE 5TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331616289",
            "telephone_number": "305-215-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ DOMINGUES",
        "first_name": "KEILA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2024043664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socrates R. Feliz, C.R.N.A.
• Fenix Rehabilitation Therapy LLC
• Maria De Los Angeles Fernandez Cabezas.
• Annalays Fernandez Delgado
• Rachel Fernandez Diaz, PA-C
• Johny Fernandez Galvez
• Jorge Gabriel Fernandez Gonzalez
• Dunia Fernandez Montero
• Alien Fernandez Sauco, RBT
• Paz Acuna Fernandez-Cruz, MD

• Family Nurse Practitioner in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.