Individual provider Active NPI

Leydis Corripio Rico, APRN, FNP-C, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1770104705
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11020409 Issued in FL
Practice address
4180 SW 74TH CT Ste 204
Miami, FL 33155-4443
Phone
(786) 432-0107
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11020409 FL Primary
Registered Nurse 163W00000X 9526021 FL
Family Nurse Practitioner 363LF0000X 11020409 FL
Case Management Agency 251B00000X 100519 FL

Addresses

Primary practice location

4180 SW 74TH CT Ste 204
Miami, FL 33155-4443

Mailing address

15285 SW 30TH Ter
Miami, FL 33185-5643
Phone (305) 790-8883

Other practice location 1

2700 SW 137th Ave
Miami, FL 33175-6324
Phone (305) 790-8883

Other practice location 2

15285 SW 30th Ter
Miami, FL 33185-5643
Phone (305) 790-8883

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
I20260217003362 FL Practitioner - Nurse Practitioner 6406336528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10201 Hammocks Blvd
Suite 157
Miami, FL 33196-3791

15285 SW 30TH Ter
Miami, FL 33185-5643

15285 SW 30TH Terrance
Miami, FL 33185-5643

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9526021FLMDRegistered Nurse
100519FLMDObstetrics & Gynecology Physician
11020409FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Solutions Health Group Corp CurrentSince Feb 1, 2026 Accepting new patients

Locations

4180 SW 74th Ct
Ste 204
Miami, FL 33155
Phone (786) 401-7327

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1770104705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15285 SW 30TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855643",
            "telephone_number": "305-790-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 SW 74TH CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554443",
            "telephone_number": "786-432-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 SW 137th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331756324",
            "country_code": "US",
            "telephone_number": "305-790-8883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15285 SW 30th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331855643",
            "country_code": "US",
            "telephone_number": "305-790-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRIPIO RICO",
        "first_name": "LEYDIS",
        "credential": "APRN, FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11020409",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9526021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020409",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "100519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.