Individual provider Active NPI

Yvena Elusma Chrysostome

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1013459098
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015024988 Issued in FL
Practice address
141 Meadowlands Dr
Royal Palm Beach, FL 33411-8274
Phone
(561) 876-0651
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015024988 FL Primary

Addresses

Primary practice location

141 Meadowlands Dr
Royal Palm Beach, FL 33411-8274

Mailing address

141 Meadowlands Dr
Royal Palm Beach, FL 33411-8274
Phone (561) 876-0651

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
2015024988FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1013459098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MEADOWLANDS DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118274",
            "telephone_number": "561-876-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MEADOWLANDS DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118274",
            "telephone_number": "561-876-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELUSMA CHRYSOSTOME",
        "first_name": "YVENA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2015024988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.