Individual provider Active NPI

Lourdes Caballero, PMHNP, FNP, FEP

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1639501620
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9339471 Issued in FL
Practice address
19000 SW 377TH St
Homestead, FL 33034-6407
Phone
(786) 349-6271
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9339471 FL Primary

Addresses

Primary practice location

19000 SW 377TH St
Homestead, FL 33034-6407

Mailing address

9109 SW 151St CT
Miami, FL 33196-1348
Phone (786) 468-5386

Other practice location 1

9109 SW 151st Ct
Miami, FL 33196-1348
Phone (786) 468-5386

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
I20140922000691 FL Practitioner - Nurse Practitioner 4789803982 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Psych Services LLC CurrentSince Aug 15, 2021 Accepting new patients
Thriveworks Clinical - Florida Inc CurrentSince Aug 10, 2021 Accepting new patients
Grow Healthcare Group PA CurrentSince Feb 15, 2022 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Oct 2, 2025 Accepting new patients
Paradise Medical Center Inc CurrentSince Mar 30, 2021 Accepting new patients
Chen Neighborhood Medical Centers of South Florida LLC PastSince Nov 1, 2020 Accepting new patients
Chen Neighborhood Medical Centers of South Florida, LLC PastSince Nov 1, 2020 Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients

Locations

2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514

4243 Sunbeam Rd
Ste 6
Jacksonville, FL 32257
Phone (904) 299-0184

8380 SW 8th St
Miami, FL 33144
Phone (305) 262-8984

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1639501620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 SW 151ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961348",
            "telephone_number": "786-468-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 SW 377TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330346407",
            "telephone_number": "786-349-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9109 SW 151st Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331961348",
            "country_code": "US",
            "telephone_number": "786-468-5386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "LOURDES",
        "name_prefix": "Ms.",
        "credential": "PMHNP, FNP, FEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9339471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.