Individual provider Active NPI

Yamilka Abella-Radjai, APRN

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1104470558
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003147 Issued in FL
Practice address
2855 N University Dr Ste 220
Coral Springs, FL 33065-1403
Phone
(954) 688-7192
Fax
(954) 866-6356
NPI assigned
Jul 24, 2019
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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 11003147 FL Primary

Addresses

Primary practice location

2855 N University Dr Ste 220
Coral Springs, FL 33065-1403

Mailing address

2855 N University Dr Ste 220
Coral Springs, FL 33065-1403
Phone (954) 688-7192

Other practice location 1

9631 NW 51st St
Coral Springs, FL 33076-2461
Phone (786) 263-2336

Other practice location 2

9631 NW 51st St
Coral Springs, FL 33076-2461
Phone (786) 263-2336

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
I20201029000388 FL Practitioner - Nurse Practitioner 5890105001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2855 N University Dr
Suite 220
Coral Springs, FL 33065-1403
Phone (954) 688-7192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11003147FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abella Family Medical Group Corp CurrentSince Nov 22, 2024 Accepting new patients

Locations

2855 N University Dr
Ste 220
Coral Springs, FL 33065
Phone (786) 317-1544

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFGDD/Endpoint/EBFGDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1104470558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 220",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651403",
            "telephone_number": "954-688-7192",
            "fax_number": "954-866-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 220",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651403",
            "telephone_number": "954-688-7192",
            "fax_number": "954-866-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9631 NW 51st St",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330762461",
            "country_code": "US",
            "telephone_number": "786-263-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9631 NW 51st St",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330762461",
            "country_code": "US",
            "telephone_number": "786-263-2336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABELLA-RADJAI",
        "first_name": "YAMILKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.