Individual provider Active NPI

Valerie Polidor, LPN

  • Psychiatric/Mental Health Nurse Practitioner
  • N Miami Beach, FL
National Provider Identifier
1609206002
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11044872 Issued in FL
Practice address
17051 NE 23Rd Ave Apt 2K
N Miami Beach, FL 33160-3744
Phone
(917) 284-4217
NPI assigned
Nov 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3808259 NY
Registered Nurse 163W00000X 940023 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11044872 FL Primary
Registered Nurse 163W00000X 9510449 FL

Addresses

Primary practice location

17051 NE 23Rd Ave Apt 2K
N Miami Beach, FL 33160-3744

Mailing address

17051 NE 23Rd Ave Apt 2K
N Miami Beach, FL 33160-3744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9510449FLMDRegistered Nurse
940023NYMDRegistered Nurse
11044872FLMDPsychiatric/Mental Health Nurse Practitioner
3808259NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1609206002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 NE 23RD AVE APT 2K",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 NE 23RD AVE APT 2K",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603744",
            "telephone_number": "917-284-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIDOR",
        "first_name": "VALERIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "3808259",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "940023",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11044872",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9510449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.