Individual provider Active NPI

Amelia Roseline Cenevil

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1639690969
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9280897 Issued in FL
Practice address
5200 NE 2ND Ave FL 3
Miami, FL 33137-2706
Phone
(305) 762-3883
NPI assigned
Jun 27, 2017
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 9280897 FL Primary

Addresses

Primary practice location

5200 NE 2ND Ave FL 3
Miami, FL 33137-2706

Mailing address

1109 Leone Dr
Haines City, FL 33844-8534
Phone (863) 353-8097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103000974 FL Practitioner - Nurse Practitioner 8022546019 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9280897FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Florida PA CurrentSince Nov 20, 2024 Accepting new patients
Seasons Hospice & Palliative Care of Tampa, LLC PastSince Nov 20, 2024 Accepting new patients

Locations

5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883

1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1639690969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LEONE DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448534",
            "telephone_number": "863-353-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-762-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENEVIL",
        "first_name": "AMELIA",
        "middle_name": "ROSELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9280897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.