Individual provider Active NPI

Yisel Carmen Vicente, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1265017669
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010168 Issued in FL
Practice address
7930 SW 148TH Ave
Miami, FL 33193-1104
Phone
(786) 556-1521
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 APRN11010168 FL Primary

Addresses

Primary practice location

7930 SW 148TH Ave
Miami, FL 33193-1104

Mailing address

7930 SW 148TH Ave
Miami, FL 33193-1104
Phone (786) 556-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240717004746 AL Practitioner - Nurse Practitioner 6204371990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11010168FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Medical Center LLC CurrentSince Apr 19, 2024 Accepting new patients
Discovery Medical Center LLC CurrentSince Apr 19, 2024 Accepting new patients

Locations

415E Church St NW
Ste 1AND2
Huntsville, AL 35801
Phone (256) 533-2900

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.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1265017669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 SW 148TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931104",
            "telephone_number": "786-556-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 SW 148TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931104",
            "telephone_number": "786-556-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "YISEL",
        "middle_name": "CARMEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.