Individual provider Active NPI

Dianelis Ojeda Rodriguez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1609512987
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11017944 Issued in FL
Practice address
1400 NW 12TH Ave
Miami, FL 33136-1087
Phone
(305) 325-5511
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 APRN11017944 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11017944 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave
Miami, FL 33136-1087

Mailing address

2606 W 9TH LN
Hialeah, FL 33010-1228
Phone (786) 231-4732

Other identifiers 1

IdentifierTypeStateIssuer
05092022536276OtherFLAPPLICATION TRACKING NUMBER

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
I20230321001208 FL Practitioner - Nurse Practitioner 3173997897 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11017944FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Mindcare CurrentSince Nov 10, 2024 Accepting new patients
University of Miami CurrentSince Mar 1, 2023 Accepting new patients
Amp Group, Inc. Psychiatric/Mental Health Current Accepting new patients
University of Miami CurrentSince Mar 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
Progressive Medical Center Inc CurrentSince Sep 30, 2024 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

12 SE 7th St
Ste 705
Ft Lauderdale, FL 33301
Phone (786) 220-1969

3000 Biscayne Blvd
Ste 216
Miami, FL 33137
Phone (786) 220-1969

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

12595 SW 137th Ave
Ste 110
Miami, FL 33186
Phone (305) 465-9379

Organizations & group practices 8

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1609512987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 W 9TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101228",
            "telephone_number": "786-231-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361087",
            "telephone_number": "305-325-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEDA RODRIGUEZ",
        "first_name": "DIANELIS",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017944",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11017944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLICATION TRACKING NUMBER",
            "identifier": "05092022536276",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.