Individual provider Active NPI

Evelio Varany Estrada Molina, APRN, CBHCM-S

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1912547019
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11007522 Issued in FL
Practice address
11117 W Okeechobee Rd Ste 104
Hialeah Gardens, FL 33018-4200
Phone
(786) 438-9145
Fax
(786) 408-5853
NPI assigned
Jan 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CBHCMS100904 FL
Family Nurse Practitioner 363LF0000X APRN11007522 FL
Primary Care Nurse Practitioner 363LP2300X APRN11007522 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007522 FL Primary

Addresses

Primary practice location

11117 W Okeechobee Rd Ste 104
Hialeah Gardens, FL 33018-4200

Mailing address

11117 W Okeechobee Rd Ste 104
Hialeah Gardens, FL 33018-4200
Phone (786) 438-9145

Other practice location 1

9271 NW 114th St Apt 1
Hialeah, FL 33018-4308
Phone (954) 470-0347

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
I20210129000244 FL Practitioner - Nurse Practitioner 6507270774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CBHCMS100904FLMDCase Manager/Care Coordinator
APRN11007522FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 19, 2023 Accepting new patients
Brightsy Health, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Oasis Mental Health Center LLC CurrentSince Oct 3, 2024 Accepting new patients

Locations

11055 SW 186th St
Ste 306
Cutler Bay, FL 33157
Phone (786) 224-6884

5901 NW 183rd St
Ste 264
Hialeah, FL 33015
Phone (786) 418-9790

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1912547019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD STE 104",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184200",
            "telephone_number": "786-438-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD STE 104",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184200",
            "telephone_number": "786-438-9145",
            "fax_number": "786-408-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9271 NW 114th St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330184308",
            "country_code": "US",
            "telephone_number": "954-470-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA MOLINA",
        "first_name": "EVELIO",
        "middle_name": "VARANY",
        "name_prefix": "Mr.",
        "credential": "APRN, CBHCM-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS100904",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007522",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11007522",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.