MRS. KELLY LILLIS VAZQUEZ (NPI# 1952877706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952877706 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LILLIS VAZQUEZ |
| Credential | APRN FNP-C |
| Practice Address |
975 Baptist Way Homestead FL 33033-7600 |
| Mailing Address |
1460 Se 22nd Ln Homestead FL 33035-2221 |
| Practice Telephone | 7865736863 |
| Mailing Telephone | 7862550020 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11000023 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215385380 | Kelly Bradford Vazquez | Nurse Practitioner | 1104 Monroe St Sw, Huntsville, AL 35801-5029 | 2016-05-31 |
| Street Address |
975 BAPTIST WAY |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417069 | Danette Torres | Pediatrics | 975 Baptist Way, Suite 103, Homestead, FL 33033-7600 | 2005-09-16 |
| 1396358883 | Sudian Kerrian Hendrickson | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2020-08-25 |
| 1548892011 | Zarela Del Rosario Carrillo | Physician Assistant | 975 Baptist Way, Homestead, FL 33033-7600 | 2020-02-12 |
| 1508409426 | Marguerite Noel Corona | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2019-10-23 |
| 1033775036 | South Dade Transitional Care Group LLC | Internal Medicine | 975 Baptist Way, Homestead, FL 33033-7600 | 2019-05-15 |
| 1629536024 | Giselle Ribas | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2019-03-05 |
| 1346717337 | Charles Juste | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2018-10-27 |
| 1063989168 | Victor M Garcia | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2018-10-26 |
| 1275009029 | Amber Mehrunissa Ferreyra | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2018-10-19 |
| 1154805489 | Sanil Varghese Prakash | Nurse Practitioner | 975 Baptist Way, Homestead, FL 33033-7600 | 2018-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921237 | Allied Np Services LLC | Nurse Practitioner | 2481 Se 1st St, Homestead, FL 33033-7516 | 2020-10-28 |
| 1780283929 | Maylene Gonzalez | Nurse Practitioner | 12864 Sw 282nd Ter, Homestead, FL 33033-7369 | 2020-10-19 |
| 1790382273 | Jorge Gonzalez Torres | Nurse Practitioner | 13650 Sw 283rd Ter, Homestead, FL 33033-1940 | 2020-10-07 |
| 1427665470 | Angela Maria Baylina | Nurse Practitioner | 14222 Sw 272 St, Homestead, FL 33032 | 2020-09-24 |
| 1972118057 | Jessica Lynn Jacobsen | Nurse Practitioner | 11338 Sw 232nd Ter, Homestead, FL 33032-6000 | 2020-09-15 |
| 1194337444 | Ileana Maria Fiallo Morejon | Nurse Practitioner | 13212 Sw 251st Ln, Homestead, FL 33032-2540 | 2020-08-18 |
| 1275144974 | Maria D Cardenas-vazquez | Nurse Practitioner | 24850 Sw 119th Ave, Homestead, FL 33032-4316 | 2020-08-14 |
| 1427668623 | Lorenys Puentes Martin | Nurse Practitioner | 28251 Sw 161st Ave, Homestead, FL 33033-1130 | 2020-08-03 |
| 1609486943 | Liliam Rivero Fundora | Nurse Practitioner | 13885 Sw 260th St, Homestead, FL 33032-6722 | 2020-08-02 |
| 1235748054 | Yania Lugo-perez | Nurse Practitioner | 24728 Sw 114th Ct, Homestead, FL 33032-4661 | 2020-07-28 |
| Find all providers in HOMESTEAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.