Individual provider Active NPI

Yaima Delgado

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1235864174
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020069 Issued in FL
Practice address
8415 SW 24TH St Ste 203
Miami, FL 33155-2305
Phone
(305) 631-2072
Fax
(305) 559-4071
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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 11020069 FL Primary

Addresses

Primary practice location

8415 SW 24TH St Ste 203
Miami, FL 33155-2305

Mailing address

3740 SW 130TH Ave
Miami, FL 33175-2824
Phone (305) 987-5074

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
I20240731003646 FL Practitioner - Nurse Practitioner 7113196494 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020069FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Solution Healthcare Associates, Inc CurrentSince Jun 13, 2024 Accepting new patients
Coastal Breeze Home Health, LLC CurrentSince Sep 13, 2023 Accepting new patients
Sunset Home Health Services Inc. Current Accepting new patients
First Solution Healthcare Associates, Inc Past Accepting new patients
First Solution Healthcare Associates, Inc Past Accepting new patients

Locations

10661 N Kendall Dr
Ste 207
Miami, FL 33176
Phone (305) 987-5074

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunset Home Health Services Inc.Cape Coral, FL, CCN 109719 Home health agency 5% Or Greater Indirect Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Feb 1, 2019
Feb 1, 2019
Feb 1, 2019
Feb 1, 2019
Coastal Breeze Home Health LLCSarasota, FL, CCN 687159 Home health agency 5% Or Greater Indirect Ownership Interest (25%)
Corporate Officer (25%)
Corporate Director
Sep 13, 2023
Sep 13, 2023
Sep 13, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1235864174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 SW 130TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752824",
            "telephone_number": "305-987-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 SW 24TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552305",
            "telephone_number": "305-631-2072",
            "fax_number": "305-559-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "YAIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.