Individual provider Active NPI

Odeline Corneille, AGACNP-BC, APRN

  • Acute Care Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1659914570
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2019059591 Issued in FL
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

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403001075 FL Practitioner - Nurse Practitioner 3577901065 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019059591FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC CurrentSince Mar 1, 2024 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.

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

Verify at the official NPI Registry.