Active NPI
Rachel Herrera Rodriguez, APRN, FNP-C
- Nurse Practitioner
- Miramar, FL
National Provider Identifier
1992572721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11030044
- Practice address
- 12680 SW 54TH CT
Miramar, FL 33027-5484 - Phone
- (786) 603-9377
- NPI assigned
- Dec 12, 2023
- Last updated
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11030044 | FL | Primary |
| Registered Nurse | 163W00000X | 9531838 | FL |
Addresses
Primary practice location
12680 SW 54TH CT
Miramar, FL 33027-5484
Mailing address
12680 SW 54TH CT
Miramar, FL 33027-5484
Phone (786) 603-9377
Other practice location 1
3595 W 20th Ave Ste 130
Hialeah, FL 33012-4537
Phone (305) 456-7951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9531838 | FL | MD | Registered Nurse |
| 11030044 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Kids Care, Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Medically Fragile Infants and Children Day Care
- Coral Springs, FL
- NPI 1467293548
-
- Home Health Agency
- Miramar, FL
- NPI 1245146638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1992572721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12680 SW 54TH CT",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275484",
"telephone_number": "786-603-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12680 SW 54TH CT",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275484",
"telephone_number": "786-603-9377"
}
],
"practiceLocations": [
{
"address_1": "3595 W 20th Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330124537",
"country_code": "US",
"telephone_number": "305-456-7951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA RODRIGUEZ",
"first_name": "RACHEL",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11030044",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9531838",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.