Individual provider Active NPI

Donna Yonta

  • Specialist
  • Port Orange, FL
National Provider Identifier
1124310347
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FB9731796 Issued in FL
Practice address
3930 Oriole Ave
Port Orange, FL 32127-6518
Phone
(386) 795-2912
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FB9731796 FL Primary

Addresses

Primary practice location

3930 Oriole Ave
Port Orange, FL 32127-6518

Mailing address

3930 Oriole Avenue
Port Orange, FL 32127-6518
Phone (386) 795-2912

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
FB9731796FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1124310347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 ORIOLE AVENUE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276518",
            "telephone_number": "386-795-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 ORIOLE AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276518",
            "telephone_number": "386-795-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONTA",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "FB9731796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.