Individual provider Active NPI

Heidy Canavaciolo, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1730857418
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11013890 Issued in FL
Practice address
12980 SW 280TH St
Homestead, FL 33032-8571
Phone
(305) 519-4268
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11013890 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013890 FL Primary

Addresses

Primary practice location

12980 SW 280TH St
Homestead, FL 33032-8571

Mailing address

12980 SW 280TH St
Homestead, FL 33032-8571
Phone (305) 519-4268

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
I20241106001629 FL Practitioner - Nurse Practitioner 9032643523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3621 SW 107TH Ave
Miami, FL 33165-3636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11013890FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 13, 2025 Accepting new patients
Serenity Community Mental Health Center LLC CurrentSince Oct 1, 2024 Accepting new patients
Serenity Community Mental Health Center, LLC CurrentSince Oct 1, 2024 Accepting new patients
Serenity Community Mental Health Center LLC Current Accepting new patients

Locations

3621 SW 107th Ave
Miami, FL 33165
Phone (305) 221-6862

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

12542 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 391-9478

4160 N Armenia Ave
Ste A
Tampa, FL 33607
Phone (786) 534-8366

110 Century Blvd
Ste 200
West Palm Beach, FL 33417
Phone (561) 282-2960

Organizations & group practices 4

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1730857418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12980 SW 280TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328571",
            "telephone_number": "305-519-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 SW 280TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328571",
            "telephone_number": "305-519-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVACIOLO",
        "first_name": "HEIDY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11013890",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.