Individual provider Active NPI

Yanet Garrido Coutin, FNP

  • Primary Care Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1124894670
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11029466 Issued in FL
Practice address
3505 NW 84TH Ave
Sunrise, FL 33351-6607
Phone
(954) 748-3039
Fax
(866) 247-5394
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11029466 FL Primary

Addresses

Primary practice location

3505 NW 84TH Ave
Sunrise, FL 33351-6607

Mailing address

3505 NW 84TH Ave
Sunrise, FL 33351-6607
Phone (954) 748-3039

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
I20231205001798 FL Practitioner - Nurse Practitioner 4587012372 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
Pinnacle Health Group PAGroup PAC ID 6507823440, 8 clinicians

Practice addresses (Care Compare)

2605 W Swann Ave
Suite 100
Tampa, FL 33609-4039
Phone (813) 874-5500

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029466FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Katryna Lim M.D.,P.a. CurrentSince Nov 27, 2023 Accepting new patients
Pinnacle Health Group PA CurrentSince Jul 14, 2025 Accepting new patients

Locations

3505 NW 84th Ave
Sunrise, FL 33351
Phone (954) 253-6738

2605 W Swann Ave
Ste 100
Tampa, FL 33609
Phone (813) 708-8346

Interoperability endpoints

  • Direct secure messaging: yanet.garrido.coutin.1@16839.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124894670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-748-3039",
            "fax_number": "866-247-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-748-3039",
            "fax_number": "866-247-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO COUTIN",
        "first_name": "YANET",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11029466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.