Individual provider Active NPI

Ketia Dareus

  • Family Nurse Practitioner
  • Opa Locka, FL
National Provider Identifier
1861972630
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9370533 Issued in FL
Practice address
401 Opa Locka Blvd
Opa Locka, FL 33054-3528
Phone
(786) 535-7200
NPI assigned
Aug 20, 2018
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 RN9370533 FL Primary

Addresses

Primary practice location

401 Opa Locka Blvd
Opa Locka, FL 33054-3528

Mailing address

909 N Miami Ave Suite 503
North Miami Beach, FL 33162-3212
Phone (786) 547-1210

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
I20200506001104 FL Practitioner - Nurse Practitioner 8325479496 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9370533FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Sep 15, 2025 Accepting new patients
Chen Neighborhood Medical Centers of South Florida LLC CurrentSince Jan 1, 2026 Accepting new patients
Post Acute Care Leaders-Florida LLC CurrentSince Feb 26, 2021 Accepting new patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

20801 NW 2nd Ave
Miami Gardens, FL 33169

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427

401 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 535-7200

808 Colley Rd
Starke, FL 32091
Phone (904) 454-1198

200 Nassau St N
Venice, FL 34285
Phone (305) 397-8417

925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 4

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1861972630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N MIAMI AVE SUITE 503",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623212",
            "telephone_number": "786-547-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543528",
            "telephone_number": "786-535-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAREUS",
        "first_name": "KETIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9370533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.