Individual provider Active NPI

Yilian Fiallo Lledias, APRN

  • Family Nurse Practitioner
  • Sweetwater, FL
National Provider Identifier
1245887017
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003852 Issued in FL
Practice address
1470 NW 107TH Ave Ste G
Sweetwater, FL 33172-2734
Phone
(305) 594-8666
Fax
(305) 594-0088
NPI assigned
Aug 26, 2019
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 11003852 FL Primary

Addresses

Primary practice location

1470 NW 107TH Ave Ste G
Sweetwater, FL 33172-2734

Mailing address

8840 SW 43Rd St
Miami, FL 33165-5328
Phone (786) 468-6878

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
I20220329002815 FL Practitioner - Nurse Practitioner 0244626372 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003852FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Health Care LLC Current Accepting new patients
Zion Health Care LLC CurrentSince Mar 15, 2022 Accepting new patients

Locations

11389 W Flagler St
Miami, FL 33174
Phone (305) 480-2045

1470 NW 107th Ave
Ste G
Sweetwater, FL 33172
Phone (305) 594-8666

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1245887017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 SW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655328",
            "telephone_number": "786-468-6878",
            "fax_number": "305-594-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 NW 107TH AVE STE G",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722734",
            "telephone_number": "305-594-8666",
            "fax_number": "305-594-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALLO LLEDIAS",
        "first_name": "YILIAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

Verify at the official NPI Registry.