Individual provider Active NPI

Yamila Diaz de Villegas, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1275106239
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028453 Issued in FL
Practice address
12731 SW 151St LN
Miami, FL 33186-6341
Phone
(786) 438-9115
NPI assigned
Jul 19, 2021
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 APRN11028453 FL Primary

Addresses

Primary practice location

12731 SW 151St LN
Miami, FL 33186-6341

Mailing address

12731 SW 151St LN
Miami, FL 33186-6341
Phone (786) 438-9115

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
I20240502003144 FL Practitioner - Nurse Practitioner 7315387644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hispanic Health Enterprises LLCGroup PAC ID 5395962195, 6 clinicians

Practice addresses (Care Compare)

4990 Golden Gate Pkwy
Naples, FL 34116-6962
Phone (239) 692-8309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11028453FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Health Enterprises LLC CurrentSince Mar 24, 2024 Accepting new patients
Patient Transport of Naples Inc CurrentSince Mar 24, 2024 Accepting new patients
Hathor Wellcare Center Inc PastSince Jul 1, 2021 Accepting new patients
Hathor Wellcare Center Inc PastSince Sep 23, 2021 Accepting new patients

Locations

4990 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 692-8309

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9587/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1275106239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 SW 151ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866341",
            "telephone_number": "786-438-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 SW 151ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866341",
            "telephone_number": "786-438-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ DE VILLEGAS",
        "first_name": "YAMILA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.