Individual provider Active NPI

Yahaira Rodriguez, ARNP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1164084679
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007472 Issued in FL
Practice address
1903 E Fletcher Ave
Tampa, FL 33612-3713
Phone
(813) 344-1084
Fax
(813) 803-5444
NPI assigned
Jul 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9210067 FL
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN11007472 FL Primary

Addresses

Primary practice location

1903 E Fletcher Ave
Tampa, FL 33612-3713

Mailing address

1903 E Fletcher Ave
Tampa, FL 33612-3713
Phone (813) 344-1084

Other practice location 1

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 916-2381

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
I20200710001358 FL Practitioner - Nurse Practitioner 0143643023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1901 E Fletcher Ave
Tampa, FL 33612-3713
Phone (813) 344-1084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9210067FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Jose R Prieto MD PA Single Specialty CurrentSince Jan 1, 2021 Accepting new patients

Locations

214 Morrison Rd
Ste 104
Brandon, FL 33511
Phone (813) 681-6474

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1164084679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123713",
            "telephone_number": "813-344-1084",
            "fax_number": "813-803-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123713",
            "telephone_number": "813-344-1084",
            "fax_number": "813-803-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "813-916-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YAHAIRA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9210067",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.