Individual provider Active NPI

Yuliya Caprietta, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ponte Vedra, FL
National Provider Identifier
1124555628
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9332174 Issued in FL
Practice address
466 Town Plaza Ave Ste 310
Ponte Vedra, FL 32081-0178
Phone
(904) 824-7733
Fax
(505) 485-0681
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9332174 FL Primary
Family Nurse Practitioner 363LF0000X CNP-03428 NM

Addresses

Primary practice location

466 Town Plaza Ave Ste 310
Ponte Vedra, FL 32081-0178

Mailing address

466 Town Plaza Ave Ste 310
Ponte Vedra, FL 32081-0178

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
I20211119000543 FL Practitioner - Nurse Practitioner 9931460227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

466 Town Plaza Ave
Suite 310
Ponte Vedra, FL 32081-5185
Phone (904) 824-7733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9332174FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Jul 28, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Jul 28, 2024 Accepting new patients

Locations

18900 N Tamiami Trl
Ste 9
North Ft Myers, FL 33903
Phone (239) 561-2202

466 Town Plaza Ave
Ste 310
Ponte Vedra, FL 32081
Phone (443) 581-8200

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

4700 N Habana Ave
Ste 703
Tampa, FL 33614
Phone (813) 678-2373

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1124555628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 TOWN PLAZA AVE STE 310",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 TOWN PLAZA AVE STE 310",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810178",
            "telephone_number": "904-824-7733",
            "fax_number": "505-485-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIETTA",
        "first_name": "YULIYA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9332174",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

Verify at the official NPI Registry.