Individual provider Active NPI

Yulanda T Faison- Oyebanji, DNP, NP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1174707236
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
265850 Issued in NC
Practice address
4320 Deerwood Lake Pkwy
310
Jacksonville, FL 32216-1177
Phone
(904) 608-2900
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP05328 LA
Nurse Practitioner 363L00000X 3777 SC
Nurse Practitioner 363L00000X ARNP9265595 FL
Family Nurse Practitioner 363LF0000X RN153816 GA
Family Nurse Practitioner 363LF0000X 265850 NC Primary

Addresses

Primary practice location

4320 Deerwood Lake Pkwy
310
Jacksonville, FL 32216-1177

Mailing address

463688 State Road 200
Yulee, FL 32097-0304
Phone (904) 608-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, NM, TX, SC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20081222000488 FL Practitioner - Nurse Practitioner 9638189509 Reassigns benefits to 1 organization
I20151005000830 GA Practitioner - Nurse Practitioner 9638189509 Reassigns benefits to 2 organizations
I20230301001336 NM Practitioner - Nurse Practitioner 9638189509 Reassigns benefits to 1 organization
I20230508001499 TX Practitioner - Nurse Practitioner 9638189509 Reassigns benefits to 1 organization
I20230615002740 SC Practitioner - Nurse Practitioner 9638189509 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9265595FLMDNurse Practitioner
AP05328LAMDNurse Practitioner
3777SCMDNurse Practitioner
RN153816GAMDFamily Nurse Practitioner
265850NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Apr 17, 2018 Accepting new patients
Wellbe Senior Medical Group of Georgia, P. C. CurrentSince May 12, 2023 Accepting new patients
Rmed LLC CurrentSince Apr 17, 2018 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Feb 9, 2023 Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients
Take Care Health Services PA Nurse Practitioner Past Accepting new patients
California Care Level Management Direct Medical Group, Inc PastSince Jun 26, 2006 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

5 Concourse Pkwy
Ste 3100
Sandy Springs, GA 30328
Phone (855) 492-7642

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 9

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1174707236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463688 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970304",
            "telephone_number": "904-608-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY",
            "address_2": "310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177",
            "telephone_number": "904-608-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON- OYEBANJI",
        "first_name": "YULANDA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "DNP, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05328",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3777",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9265595",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN153816",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "265850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.