Individual provider Active NPI

Enriqueta Kalina Cespedes, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1780312728
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08220187 Issued in TX
Practice address
16641 SW 140TH Ave
Miami, FL 33177-2078
Phone
(786) 803-0643
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 F08220187 TX Primary

Addresses

Primary practice location

16641 SW 140TH Ave
Miami, FL 33177-2078

Mailing address

16641 SW 140TH Ave
Miami, FL 33177-2078
Phone (786) 803-0643

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
I20230404000036 FL Practitioner - Nurse Practitioner 9032584172 Reassigns benefits to 1 organization
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08220187TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred FL PLLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

17475 S Dixie Hwy
Palmetto Bay, FL 33157
Phone (305) 255-1045

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1780312728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16641 SW 140TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772078",
            "telephone_number": "786-803-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16641 SW 140TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772078",
            "telephone_number": "786-803-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESPEDES",
        "first_name": "ENRIQUETA",
        "middle_name": "KALINA",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F08220187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.