Yadira Bouza Jimenez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004465 Issued in FL

Practice address

14273 SW 29TH St
Miami, FL 33175-6573

Phone

(786) 278-7012

NPI assigned

Oct 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: yadira.bouzajimenez.p1@direct.caremax.nextgenshare.com
• Direct secure messaging: yadira.bouzajimenez.p1@direct.vivamasmedical.nextgenshare.com

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1114569498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14273 SW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756573",
            "telephone_number": "786-278-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14273 SW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756573",
            "telephone_number": "786-278-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUZA JIMENEZ",
        "first_name": "YADIRA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otto Z Boutin, D.O.
• Sury Maria Boutros
• Melissa Nicole Bouverie
• Daysi Regla Bouza Arguelles, BCABA
• Belkis Bouza Hernandez
• Mario Bouza Mesa
• Amarilys Bouza, BCBA
• Christopher John Bouza, MSN
• Dianelis Bouza, APRN
• Geisy Bouza

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.