Individual provider Active NPI

Yanette Carmina Peters

  • Nurse's Aide
  • Fort Walton Beach, FL
National Provider Identifier
1003051301
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA 130573 Issued in FL
Practice address
218 Miracle Strip Pkwy SW Unit S
Fort Walton Beach, FL 32548-6648
Phone
(850) 240-8411
NPI assigned
Dec 16, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CNA 130573 FL Primary

Addresses

Primary practice location

218 Miracle Strip Pkwy SW Unit S
Fort Walton Beach, FL 32548-6648

Mailing address

218 Miracle Strip Pkwy SW Unit S
Fort Walton Beach, FL 32548-6648
Phone (850) 240-8411

Other names 1

  • Yanette Carmina Ramos Former name

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

LicenseStateTypeSpecialty
CNA 130573FLMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1003051301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MIRACLE STRIP PKWY SW UNIT S",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486648",
            "telephone_number": "850-240-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MIRACLE STRIP PKWY SW UNIT S",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486648",
            "telephone_number": "850-240-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "YANETTE",
        "middle_name": "CARMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA 130573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANETTE",
            "last_name": "RAMOS",
            "middle_name": "CARMINA",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.