Individual provider Active NPI

Yanick Beauvoir Maynard, DPM

  • Podiatrist
  • Coral Springs, FL
National Provider Identifier
1073625133
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2784 Issued in FL
Practice address
7857 W Sample Rd Suite 157
Coral Springs, FL 33065-4748
Phone
(954) 775-0168
Fax
(954) 757-7009
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2784 FL Primary

Addresses

Primary practice location

7857 W Sample Rd Suite 157
Coral Springs, FL 33065-4748

Mailing address

4613 N University Dr
Coral Springs, FL 33067-4602
Phone (561) 350-6699

Other identifiers 1

IdentifierTypeStateIssuer
65614WOtherFLMEDICARE ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000389 FL Practitioner - Podiatry 1557330420 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL; Naples, FL; Homestead, FL; Fort Myers, FL; Fort Lauderdale, FL; Coral Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step Podiatry of South Florida IncGroup PAC ID 8729445028, 4 clinicians

Practice addresses (Care Compare)

1330 NW 1St Ave
Homestead, FL 33030-4212
Phone (305) 271-2220

22022 Martella Ave
Boca Raton, FL 33433-4631
Phone (954) 839-4791

23315 Blue Water Cir
Boca Raton, FL 33433-7053
Phone (561) 962-1773

7857 W Sample Rd
Suite 157
Coral Springs, FL 33065-4748
Phone (754) 229-6372

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Podiatry of South Florida Inc Podiatrist CurrentSince Jan 25, 2023 Accepting new patients
Nursing Home Consultants LLC PastSince Aug 15, 2010 Accepting new patients
Jim Francois, DPM, PT, PA Past Accepting new patients

Locations

23315 Blue Water Cir
Boca Raton, FL 33433
Phone (561) 368-1033

7857 W Sample Rd
Ste 157
Coral Springs, FL 33065
Phone (754) 229-6372

2121 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 771-8400

1330 NW 1st Ave
Homestead, FL 33030
Phone (305) 248-0271

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8919/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25009/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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1073625133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674602",
            "telephone_number": "561-350-6699",
            "fax_number": "954-757-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7857 W SAMPLE RD SUITE 157",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654748",
            "telephone_number": "954-775-0168",
            "fax_number": "954-757-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUVOIR MAYNARD",
        "first_name": "YANICK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "65614W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.