Individual provider Active NPI

Yahumara Leiva, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1073105185
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010914 Issued in FL
Practice address
1411 SE 16TH PL
Cape Coral, FL 33990-3818
Phone
(239) 673-6516
Fax
(239) 673-6536
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 APRN11010914 FL Primary

Addresses

Primary practice location

1411 SE 16TH PL
Cape Coral, FL 33990-3818

Mailing address

2532 SW 15TH Ave
Cape Coral, FL 33914-4144
Phone (239) 245-1239

Other practice location 1

2532 SW 15th Ave
Cape Coral, FL 33914-4144
Phone (239) 245-1239

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
I20210225001266 FL Practitioner - Nurse Practitioner 0941615926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

1411 SE 16TH PL
Cape Coral, FL 33990-3818
Phone (239) 673-6516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony J. Williamitis M D Inc. CurrentSince Dec 15, 2021 Accepting new patients
Best Value Healthcare LLC CurrentSince Jul 17, 2023 Accepting new patients
Best Value Healthcare LLC CurrentSince Jul 17, 2023 Accepting new patients

Locations

9200 Bonita Beach Rd SE
Ste 105
Bonita Springs, FL 34135
Phone (239) 947-6808

1411 SE 16th Pl
Cape Coral, FL 33990
Phone (239) 673-6516

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16160/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1073105185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 SW 15TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144144",
            "telephone_number": "239-245-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903818",
            "telephone_number": "239-673-6516",
            "fax_number": "239-673-6536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2532 SW 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144144",
            "country_code": "US",
            "telephone_number": "239-245-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIVA",
        "first_name": "YAHUMARA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.