Individual provider Active NPI

Kleydson Neves Da Silva, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1780299487
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039863 Issued in FL
Practice address
10300 SW 72ND St Ste 387
Miami, FL 33173-3020
Phone
(305) 200-5210
Fax
(305) 200-5780
NPI assigned
Sep 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11039863 FL Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 387
Miami, FL 33173-3020

Mailing address

9923 SW 147TH CT
Miami, FL 33196-1634
Phone (786) 205-4515

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
I20251211000672 FL Practitioner - Nurse Practitioner 1951704527

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10300 SW 72 St
Suite 101 387
Miami, FL 33173

10300 SW 72ND St
Suite 101
Miami, FL 33173-3038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11039863FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidanova Medical Group, LLC Current Accepting new patients
Supra Medical Group II, LLC CurrentSince Apr 28, 2021 Accepting new patients

Locations

10300 Sunset Dr
Ste 101
Miami, FL 33173
Phone (305) 200-5210

10300 SW 72nd St
Ste 387
Miami, FL 33173
Phone (305) 200-5210

Organizations & group practices 2

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1780299487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961634",
            "telephone_number": "786-205-4515",
            "fax_number": "305-200-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 387",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "305-200-5210",
            "fax_number": "305-200-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVES DA SILVA",
        "first_name": "KLEYDSON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.