Active NPI
Yosanary N Grin Roman, APRN
- Family Nurse Practitioner
- Riverview, FL
National Provider Identifier
1174871834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F09251327
- Practice address
- 11820 Lark Song Loop
Riverview, FL 33579-7088 - Phone
- (786) 859-3966
- NPI assigned
- Aug 28, 2012
- Reactivated
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F09251327 | FL | Primary |
Addresses
Primary practice location
11820 Lark Song Loop
Riverview, FL 33579-7088
Mailing address
11820 Lark Song Loop
Riverview, FL 33579-7088
Phone (786) 859-3966
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
3345 S Dale Mabry Hwy
Tampa, FL 33629-7817
Phone (813) 234-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09251327 | FL | MD | Family Nurse Practitioner |
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.
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1467838862
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1174871834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 LARK SONG LOOP",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797088",
"telephone_number": "786-859-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 LARK SONG LOOP",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797088",
"telephone_number": "786-859-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIN ROMAN",
"first_name": "YOSANARY",
"middle_name": "N",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"deactivation_date": "2025-10-14",
"reactivation_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F09251327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.