Active NPI
Janet Pedrosa
- Family Nurse Practitioner
- Cutler Bay, FL
National Provider Identifier
1609428564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11023121
- Practice address
- 8960 SW 199TH St
Cutler Bay, FL 33157-8972 - Phone
- (813) 793-1181
- NPI assigned
- Jul 11, 2019
- Reactivated
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11023121 | FL | Primary |
Addresses
Primary practice location
8960 SW 199TH St
Cutler Bay, FL 33157-8972
Mailing address
8960 SW 199TH St
Cutler Bay, FL 33157-8972
Phone (813) 793-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023121 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1609428564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8960 SW 199TH ST",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331578972",
"telephone_number": "813-793-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8960 SW 199TH ST",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331578972",
"telephone_number": "813-793-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDROSA",
"first_name": "JANET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"deactivation_date": "2022-11-19",
"reactivation_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.