Individual provider Active NPI

Kelly Vasquez, APRN

  • Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1649167313
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11040227 Issued in FL
Practice address
1192 E Newport Center Dr
Deerfield Beach, FL 33442-7753
Phone
(305) 243-4000
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11040227 FL Primary

Addresses

Primary practice location

1192 E Newport Center Dr
Deerfield Beach, FL 33442-7753

Mailing address

1192 E Newport Center Dr
Deerfield Beach, FL 33442-7753
Phone (305) 243-4000

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
I20250811003673 FL Practitioner - Nurse Practitioner 1052819851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BRRH Oncology, LLCGroup PAC ID 4082612999, 29 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

701 NW 13TH St
FL 2
Boca Raton, FL 33486-2305
Phone (561) 955-6400

8100 SW 10 St
Uhealth at Plantation
Plantation, FL 33325-3279
Phone (305) 243-5422

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BRRH Oncology LLC CurrentSince Jul 14, 2025 Accepting new patients
The Center for Hematology Oncology PastSince Jul 14, 2025 Accepting new patients

Locations

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

701 NW 13th St
Fl 2
Boca Raton, FL 33486
Phone (561) 955-6400

6282 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-8307

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1649167313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 E NEWPORT CENTER DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427753",
            "telephone_number": "305-243-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 E NEWPORT CENTER DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427753",
            "telephone_number": "305-243-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11040227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.