Individual provider Active NPI

Yaima Fonseca

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1225854094
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29909 Issued in SC
Practice address
56 Pointe Cir Ste 200
Greenville, SC 29615-3506
Phone
(864) 519-0121
Fax
(864) 519-2711
NPI assigned
Nov 26, 2024
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29909 SC Primary
Registered Nurse 163W00000X 266770 SC

Addresses

Primary practice location

56 Pointe Cir Ste 200
Greenville, SC 29615-3506

Mailing address

242 Pierpont Ave
Spartanburg, SC 29303-2730
Phone (737) 703-7411

Other practice location 1

242 Pierpont Ave
Spartanburg, SC 29303-2730
Phone (737) 703-7411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250814000699 SC Practitioner - Nurse Practitioner 0446758833 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Mobile Wound Care, LLCGroup PAC ID 1557894524, 2 clinicians

Practice addresses (Care Compare)

56 Pointe Cir
Greenville, SC 29615-3506
Phone (864) 757-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
266770SCMDRegistered Nurse
29909SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Health LLC CurrentSince Jul 8, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 16, 2025 Accepting new patients
Advanced Mobile Wound Care, LLC CurrentSince Jul 8, 2025 Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

56 Pointe Cir
Greenville, SC 29615
Phone (864) 757-8500

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

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.

Hospital & facility affiliations 4

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1225854094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 PIERPONT AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032730",
            "telephone_number": "737-703-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 POINTE CIR STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153506",
            "telephone_number": "864-519-0121",
            "fax_number": "864-519-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Pierpont Ave",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293032730",
            "country_code": "US",
            "telephone_number": "737-703-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "YAIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29909",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "266770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.