Active NPI
Yelizet Lellanys Moreno I, RN
- Registered Nurse
- Miami, FL
National Provider Identifier
1023776796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9260078
- Practice address
- 13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334 - Phone
- (786) 478-6369
- Fax
- (786) 429-1704
- NPI assigned
- Nov 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9260078 | FL | Primary |
Addresses
Primary practice location
13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334
Mailing address
13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334
Phone (786) 478-6369
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9260078 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1023776796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13205 SW 137TH AVE STE 132",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865334",
"telephone_number": "786-478-6369",
"fax_number": "786-429-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13205 SW 137TH AVE STE 132",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865334",
"telephone_number": "786-478-6369",
"fax_number": "786-429-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "YELIZET",
"middle_name": "LELLANYS",
"name_suffix": "I",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9260078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.