Yara C. Agostini, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9259871 Issued in FL

Practice address

298 S Yonge St
Ormond Beach, FL 32174-6264

Phone

(386) 278-7800

Fax

(386) 274-7801

NPI assigned

May 20, 2014

Last updated

Sep 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Yara C Gocking Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Emergency Medicine Professionals PA

  • Emergency Medicine Physician
  • Deland, FL
  • NPI 1205880853
  Medicare reassignment NPD

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1275944696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RAEMOND LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646855",
            "telephone_number": "386-503-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746264",
            "telephone_number": "386-278-7800",
            "fax_number": "386-274-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTINI",
        "first_name": "YARA",
        "middle_name": "C.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "9259871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9259871",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9259871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YARA",
            "last_name": "GOCKING",
            "middle_name": "C",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Advanced Therapy Clinic, L.L.C.
• Adventhealth Home Health and Hospice Inc (Adventhealth Home Care East Florida)
• Adventhealth Home Health and Hospice Inc (Adventhealth Hospice)
• Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care - Ormond Beach)
• David Leroy Affolter, LMHC
• Shannon Lee Aguiar, OTR
• Frances Lastica Aguilar, PT
• Ahc Southland - Ormond Beach, LLC (Brookdale Ormond Beach)
• Maleeha Ahmad
• Salman Ahmed, MD

• Family Nurse Practitioner in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.