Organization Active NPI

De Cardenas NP Services Inc

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1659874162
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9243679 Issued in FL
Legal business name
DE CARDENAS NP SERVICES INC
Practice address
8033 NW 161St Ter
Miami Lakes, FL 33016-6658
Phone
(305) 484-0450
NPI assigned
Mar 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Peggy De Cardenas, ARNPNPI 1972765089
Title
President
Phone
(305) 484-0450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X ARNP9243679 FL Primary

Addresses

Primary practice location

8033 NW 161St Ter
Miami Lakes, FL 33016-6658

Mailing address

8033 NW 161St Ter
Miami Lakes, FL 33016-6658
Phone (305) 484-0450

Other practice location 1

1435 W 49th Pl Ste 406
Hialeah, FL 33012-3158
Phone (305) 484-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190823001090 FL Part B Supplier - Clinic/Group Practice 5799013033 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

1435 W 49th Pl
Ste 406
Hialeah, FL 33012
Phone (305) 284-7666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1659874162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 NW 161ST TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166658",
            "telephone_number": "305-484-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 NW 161ST TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166658",
            "telephone_number": "305-484-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 W 49th Pl Ste 406",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123158",
            "country_code": "US",
            "telephone_number": "305-484-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DE CARDENAS NP SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-10",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "DE CARDENAS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-484-0450",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9243679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.