Active NPI
Odeline Corneille, AGACNP-BC, APRN
- Acute Care Nurse Practitioner
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2019059591
- Practice address
- 13900 NE 3Rd CT
North Miami, FL 33161-2834 - Phone
- (872) 231-3162
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2019059591 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | 2019059591 | FL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 2019059591 | FL |
Addresses
Primary practice location
13900 NE 3Rd CT
North Miami, FL 33161-2834
Mailing address
PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019059591 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Health Rehabilitation LLC | Current | Accepting new patients |
Locations
703 S 29th St
Fort Pierce, FL 34947
Phone (201) 654-3130
1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673
18905 NE 25th Ave
Miami, FL 33180
Phone (305) 932-6360
14601 NE 16th Ave
North Miami, FL 33161
Phone (305) 701-9699
12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210
13900 NE 3rd Ct
North Miami, FL 33161
Phone (305) 893-2288
2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700
1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1659914570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870001",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13900 NE 3RD CT",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331612834",
"telephone_number": "872-231-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEILLE",
"first_name": "ODELINE",
"credential": "AGACNP-BC, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "2019059591",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "2019059591",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "2019059591",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.