Individual provider Active NPI

Geidy Anglada

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1811751472
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020410 Issued in FL
Practice address
142 E 12TH St
Hialeah, FL 33010-3532
Phone
(786) 403-1289
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 11020410 FL Primary

Addresses

Primary practice location

142 E 12TH St
Hialeah, FL 33010-3532

Mailing address

142 E 12TH St
Hialeah, FL 33010-3532
Phone (786) 403-1289

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
I20260120000705 FL Practitioner - Nurse Practitioner 4789173311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

142 E 12TH St
Hialeah, FL 33010-3532

5190 NW 167 St
Suite 104a
Miami Lakes, FL 33014-6328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020410FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triple a Medical Multiservices Family CurrentSince Nov 3, 2025 Accepting new patients

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1811751472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E 12TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103532",
            "telephone_number": "786-403-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E 12TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103532",
            "telephone_number": "786-403-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLADA",
        "first_name": "GEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.