Individual provider Active NPI

Yordenys Collazo Eijo

  • Family Nurse Practitioner
  • Dade City, FL
National Provider Identifier
1164880308
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9321325 Issued in FL
Practice address
14027 5TH St
Dade City, FL 33525-4302
Phone
(352) 518-2000
Fax
(352) 567-0218
NPI assigned
Feb 3, 2016
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9321325 FL
Family Nurse Practitioner 363LF0000X 9321325 FL Primary

Addresses

Primary practice location

14027 5TH St
Dade City, FL 33525-4302

Mailing address

PO Box 232
Dade City, FL 33526-0232
Phone (352) 518-2000

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
I20160728002660 FL Practitioner - Nurse Practitioner 6608169529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14027 5TH St
Dade City, FL 33525-4302
Phone (352) 518-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9321325FLMDAcute Care Nurse Practitioner
9321325FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group, Inc. CurrentSince May 5, 2022 Accepting new patients
Premier Community Healthcare Group Inc CurrentSince May 5, 2022 Accepting new patients
Premier Community Healthcare Group Inc Past Accepting new patients

Locations

300 S Main St
Brooksville, FL 34601
Phone (352) 540-6800

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

37944 Pasco Ave
Dade City, FL 33525

11611 Denton Ave
Hudson, FL 34667
Phone (727) 861-5250

5957 Rowan Rd
New Port Richey, FL 34653
Phone (727) 645-4185

7551 Forest Oaks Blvd
Spring Hill, FL 34606
Phone (352) 540-6800

37920 Medical Arts Ct
Zephyrhills, FL 33541

38030 Daughtery Rd
Zephyrhills, FL 33540
Phone (813) 780-0711

6860 Medical View Ln
Zephyrhills, FL 33542

Interoperability endpoints

  • FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

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, 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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1164880308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335260232",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14027 5TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254302",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO EIJO",
        "first_name": "YORDENYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9321325",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9321325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.