Individual provider Active NPI

Edith Cecilia Yanes Angel I, RN

  • Community Health Registered Nurse
  • Medley, FL
National Provider Identifier
1255106274
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN9502655 Issued in FL
Practice address
8591 NW S River Dr
Medley, FL 33166-7426
Phone
(305) 456-3000
Fax
(305) 631-2180
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X RN9502655 FL
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN9502655 FL
Community Health Registered Nurse 163WC1500X RN9502655 FL Primary

Addresses

Primary practice location

8591 NW S River Dr
Medley, FL 33166-7426

Mailing address

8591 NW S River Dr
Medley, FL 33166-7426
Phone (305) 456-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9502655FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1255106274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 NW S RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667426",
            "telephone_number": "305-456-3000",
            "fax_number": "305-631-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 NW S RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667426",
            "telephone_number": "305-456-3000",
            "fax_number": "305-631-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANES ANGEL",
        "first_name": "EDITH",
        "middle_name": "CECILIA",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "FL",
            "license": "RN9502655",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9502655",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9502655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.