Individual provider Active NPI

Yvonne Francis Wind, PA

  • Medical Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1124164918
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3090 Issued in FL
Practice address
1613 Alton Rd
Miami Beach, FL 33139-2420
Phone
(305) 538-1400
Fax
(305) 538-6803
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA3090 FL Primary

Addresses

Primary practice location

1613 Alton Rd
Miami Beach, FL 33139-2420

Mailing address

2301 Wilton Dr
Wilton Manors, FL 33305-1202
Phone (954) 567-5898

Other identifiers 1

IdentifierTypeStateIssuer
290888300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3090FLMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1124164918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051202",
            "telephone_number": "954-567-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392420",
            "telephone_number": "305-538-1400",
            "fax_number": "305-538-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIND",
        "first_name": "YVONNE",
        "middle_name": "FRANCIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290888300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.