Individual provider Active NPI

Yaimara Alfonso Hernandez, APRN

  • Family Nurse Practitioner
  • Okeechobee, FL
National Provider Identifier
1124759337
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030207 Issued in FL
Practice address
1646 US Highway 441 N
Okeechobee, FL 34972-1916
Phone
(872) 231-3162
NPI assigned
Jun 20, 2022
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030207 FL Primary
Registered Nurse 163W00000X 9585457 FL

Addresses

Primary practice location

1646 US Highway 441 N
Okeechobee, FL 34972-1916

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240124000630 FL Practitioner - Nurse Practitioner 6002268299 Reassigns benefits to 3 organizations
I20250910002640 AR Practitioner - Nurse Practitioner 6002268299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians

Practice addresses (Care Compare)

1310 37TH St
Vero Beach, FL 32960-4860
Phone (321) 387-9451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9585457FLMDRegistered Nurse
11030207FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ballout International PLLC Family CurrentSince Oct 18, 2025 Accepting new patients
National Health Rehabilitation LLC CurrentSince Jan 1, 2024 Accepting new patients
Victoria Labs and Health Services LLC Family CurrentSince Apr 1, 2025 Accepting new patients

Locations (25 of 77)

3355 E Semoran Blvd
Apopka, FL 32703
Phone (407) 862-6263

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 364-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

2302 59th St W
Bradenton, FL 34209
Phone (941) 792-8480

3918 S Kings Ave
Brandon, FL 33511
Phone (813) 622-1535

1100 N Pine St
Clearwater, FL 33756
Phone (727) 442-7106

2055 Palmetto St
Clearwater, FL 33765
Phone (727) 461-6613

1775 Hooks St
Clermont, FL 34711
Phone (352) 717-7980

37135 Coleman Ave
Dade City, FL 33525
Phone (352) 567-8615

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

595 N Williamson Blvd
Daytona Beach, FL 32114
Phone (386) 257-4400

5430 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3188

870 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-8861

7173 Cypress Dr
Fort Myers, FL 33907
Phone (239) 936-0203

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

8041 State Road 52
Hudson, FL 34667
Phone (727) 862-9559

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

4405 Lakewood Rd
Lake Worth Beach, FL 33461
Phone (561) 630-9321

4240 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 607-5948

3370 NW 47th Ter
Lauderdale Lakes, FL 33319
Phone (954) 733-0655

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

1420 Oak St
Melbourne, FL 32901
Phone (321) 326-2300

251 E Florida Ave
Melbourne, FL 32901
Phone (321) 725-3900

2680 Croton Rd
Melbourne, FL 32935
Phone (321) 255-4783

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

Organizations & group practices 4

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1124759337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 US HIGHWAY 441 N",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721916",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO HERNANDEZ",
        "first_name": "YAIMARA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030207",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9585457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.