Individual provider Active NPI

Katerina Diana Rey, APRN

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1902632391
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11035158 Issued in FL
Practice address
7867 N Kendall Dr
Miami, FL 33156-7742
Phone
(305) 598-1155
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11035158 FL Primary

Addresses

Primary practice location

7867 N Kendall Dr
Miami, FL 33156-7742

Mailing address

1700 NW North River Dr Apt 1004
Miami, FL 33125-2352

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
I20250221003373 FL Practitioner - Nurse Practitioner 1052831955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Spine Institute IncGroup PAC ID 4385741420, 6 clinicians

Practice addresses (Care Compare)

9175 SW 87TH Ave
Miami, FL 33176-2302
Phone (305) 598-1555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035158FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular and Spine Institute, Inc. CurrentSince Dec 12, 2024 Accepting new patients

Locations

9175 SW 87th Ave
Miami, FL 33176
Phone (305) 273-3830

7867 N Kendall Dr
Ste 130
Miami, FL 33156
Phone (305) 274-5959

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1902632391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW NORTH RIVER DR APT 1004",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7867 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567742",
            "telephone_number": "305-598-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY",
        "first_name": "KATERINA",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11035158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.