Individual provider Active NPI

Laurel Gail Yanuzzelli, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1174318497
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038832 Issued in FL
Practice address
4654 E State Road 64 # 509
Bradenton, FL 34208-9029
Phone
(941) 243-9613
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11038832 FL Primary

Addresses

Primary practice location

4654 E State Road 64 # 509
Bradenton, FL 34208-9029

Mailing address

1533 4TH Ave W
Bradenton, FL 34205-5949

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
I20250430001786 FL Practitioner - Nurse Practitioner 9032635289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4654 E State Rd
64 509
Bradenton, FL 34208-9029

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11038832FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walsh Family Medicine LLC CurrentSince Apr 9, 2025 Accepting new patients

Locations

4654 E State Road 64
Bradenton, FL 34208
Phone (941) 243-9613

Organizations & group practices 1

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.

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1174318497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 4TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4654 E STATE ROAD 64 # 509",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089029",
            "telephone_number": "941-243-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANUZZELLI",
        "first_name": "LAUREL",
        "middle_name": "GAIL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.