Individual provider Active NPI

Leslie Vanessa Yanes

  • Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1104394303
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN9338618 Issued in FL
Practice address
3370 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4327
Phone
(561) 425-9881
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ARNP9338618 FL
Nurse Practitioner 363L00000X RN9338618 FL Primary

Addresses

Primary practice location

3370 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4327

Mailing address

7910 Piper LN
Lake Worth, FL 33463-8047
Phone (561) 376-9119

Other practice location 1

1411 N Flagler Dr Ste 7100
West Palm Beach, FL 33401-3418
Phone (561) 833-6116

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
I20190917003691 FL Practitioner - Nurse Practitioner 3173853173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9338618FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Jul 21, 2019 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jul 21, 2019 Accepting new patients

Locations

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

3370 Burns Rd
Ste 103
West Palm Beach, FL 33410
Phone (561) 425-9881

1411 N Flagler Dr
Ste 7100
West Palm Beach, FL 33401
Phone (561) 832-1234

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 2

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1104394303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 PIPER LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638047",
            "telephone_number": "561-376-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-425-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 N Flagler Dr Ste 7100",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013418",
            "country_code": "US",
            "telephone_number": "561-833-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANES",
        "first_name": "LESLIE",
        "middle_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9338618",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9338618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.