Active NPI
Yenny M Ceballos, ARNP-BC
- Family Nurse Practitioner
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9264957
- Practice address
- 5975 Sunset Dr Ste 402
South Miami, FL 33143-5198 - Phone
- (305) 968-1996
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9264957 | FL | Primary |
Addresses
Primary practice location
5975 Sunset Dr Ste 402
South Miami, FL 33143-5198
Mailing address
12944 SW 222ND Street
Miami, FL 33170
Phone (305) 968-1996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012051400 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| Urgent Care Physicians of Country Walk LLC | Current | Accepting new patients | |
| Urgent Care Physicians of West Kendall LLC | Current | Accepting new patients | |
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| Criticare Clinics Inc | Current | Accepting new patients | |
| Urgent Care Physicians of Tamiami LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Westchester LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Palmetto Bay LLC | Current | Accepting new patients |
Locations
6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020
6264 W Sample Rd
Ste 100
Coral Springs, FL 33067
Phone (954) 837-1010
4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050
13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800
14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100
13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300
8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890
14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833
8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840
15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300
10520 Forest Hill Blvd
Ste 300
Wellington, FL 33414
Phone (561) 204-9355
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
-
- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1508871948
-
- General Practice Physician
- Miami, FL
- NPI 1689838849
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1740403914
-
- General Practice Physician
- Miami, FL
- NPI 1639381965
-
- General Practice Physician
- Miami, FL
- NPI 1508989757
-
- General Practice Physician
- Miami, FL
- NPI 1992928162
-
- Home Infusion Therapy Pharmacy
- Miami Lakes, FL
- NPI 1316662299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1063848356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12944 SW 222ND STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33170",
"telephone_number": "305-968-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5975 SUNSET DR STE 402",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435198",
"telephone_number": "305-968-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS",
"first_name": "YENNY",
"middle_name": "M",
"credential": "ARNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9264957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012051400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.