Individual provider Active NPI

Yanin Otano Ramon

  • Family Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1023725108
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022091 Issued in FL
Practice address
12582 US Highway 19
Hudson, FL 34667-1952
Phone
(727) 516-8806
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 11022091 FL Primary

Addresses

Primary practice location

12582 US Highway 19
Hudson, FL 34667-1952

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000

Other practice location 1

6726 Hanley Rd
Tampa, FL 33634-4739
Phone (941) 275-7293

Other practice location 2

7463 State Road 52
Hudson, FL 34667-6714
Phone (130) 553-4007

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address yanin.otano.ramon.1@29601.direct.athenahealth.com
Direct Messaging Address yanin.otano.ramon.2@29601.direct.athenahealth.com

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
I20230302000387 FL Practitioner - Nurse Practitioner 7911370531 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022091FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Dec 12, 2024 Accepting new patients
Miami Beach Medical Consultants, LLC. CurrentSince May 1, 2023 Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

7463 State Road 52
Hudson, FL 34667
Phone (727) 203-4065

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

7500 SW 8th St
Ste 400
Miami, FL 33144

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

6726 Hanley Rd
Tampa, FL 33634
Phone (813) 284-7903

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: yanin.otano.ramon.2@29601.direct.athenahealth.com
  • Direct secure messaging: yanin.otano.ramon.1@29601.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1023725108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12582 US HIGHWAY 19",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671952",
            "telephone_number": "727-516-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6726 Hanley Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336344739",
            "country_code": "US",
            "telephone_number": "941-275-7293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7463 State Road 52",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346676714",
            "country_code": "US",
            "telephone_number": "130-553-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTANO RAMON",
        "first_name": "YANIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yanin.otano.ramon.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "yanin.otano.ramon.1@29601.direct.athenahealth.com",
            "address_1": "12582 US Highway 19",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346671952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yanin.otano.ramon.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "yanin.otano.ramon.2@29601.direct.athenahealth.com",
            "address_1": "12582 US Highway 19",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346671952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.