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

Sex

Female

Sole proprietor

Yes

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.

• Emergency Medicine Professionals PA

  • Emergency Medicine Physician
  • Deland, FL
  • NPI 1205880853

  FL

  Medicare reassignment NPD

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

• Yara C Gocking Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2018.

{
    "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 Health and Hospice Inc
• Adventist Health System/Sunbelt, Inc.
• David Leroy Affolter, LMHC
• Shannon Lee Aguiar, OTR
• Frances Lastica Aguilar, PT
• Ahc Southland - Ormond Beach, LLC
• Maleeha Ahmad
• Salman Ahmed, MD

• All providers in Ormond Beach, FL
• 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.