Individual provider Active NPI

Yanick Casimir, ARNP

  • Nurse Practitioner
  • Doral, FL
National Provider Identifier
1093928129
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 1898512 Issued in FL
Practice address
8175 NW 12TH St
Suite 306
Doral, FL 33126-1828
Phone
(786) 845-0173
Fax
(786) 845-0176
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 1898512 FL Primary

Addresses

Primary practice location

8175 NW 12TH St
Suite 306
Doral, FL 33126-1828

Mailing address

1350 NW 14TH St
Suite 350
Miami, FL 33125-1609
Phone (305) 575-3800

Other identifiers 1

IdentifierTypeStateIssuer
300691300MedicaidFL

Other names 1

  • Yanick Eugene Former name

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
I20120813000369 FL Practitioner - Nurse Practitioner 4486800174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 1898512FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Sep 1, 1999 Accepting new patients
Florida Department of Health CurrentSince Sep 1, 1999 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

8175 NW 12th St
Ste 306
Doral, FL 33126
Phone (786) 845-0173

1350 NW 14th St
Ste 350
Miami, FL 33125

1350 NW 14th St
Miami, FL 33125
Phone (305) 575-3800

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1093928129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 NW 14TH ST",
            "address_2": "SUITE 350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251609",
            "telephone_number": "305-575-3800",
            "fax_number": "305-575-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 NW 12TH ST",
            "address_2": "SUITE 306",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261828",
            "telephone_number": "786-845-0173",
            "fax_number": "786-845-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "YANICK",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1898512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300691300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANICK",
            "last_name": "EUGENE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.