Individual provider Active NPI

Laura Camacho Pedraza, APRN

  • Nurse Practitioner
  • Tavernier, FL
National Provider Identifier
1770327892
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11032881 Issued in FL
Practice address
91461 Overseas Hwy
Tavernier, FL 33070-2514
Phone
(305) 780-7730
Fax
(305) 735-4389
NPI assigned
Jun 24, 2024
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11032881 FL Primary

Addresses

Primary practice location

91461 Overseas Hwy
Tavernier, FL 33070-2514

Mailing address

145 SE 34TH Ter
Homestead, FL 33033-7480

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
I20241122000446 FL Practitioner - Nurse Practitioner 0244765675 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032881FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Marias Medical Center LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

91461 Overseas Hwy
Tavernier, FL 33070
Phone (305) 248-4774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1770327892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SE 34TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91461 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702514",
            "telephone_number": "305-780-7730",
            "fax_number": "305-735-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO PEDRAZA",
        "first_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11032881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.