Individual provider Active NPI

Yednibet Perez Medina, CBHCM

  • Case Manager/Care Coordinator
  • West Palm Beach, FL
National Provider Identifier
1285304212
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CBHCM103475 Issued in FL
Practice address
5850 Albert Rd
West Palm Beach, FL 33415-7114
Phone
(561) 574-5874
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CBHCM103475 FL Primary

Addresses

Primary practice location

5850 Albert Rd
West Palm Beach, FL 33415-7114

Mailing address

5850 Albert Rd
West Palm Beach, FL 33415-7114
Phone (561) 574-5874

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

State licenses

LicenseStateTypeSpecialty
CBHCM103475FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1285304212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 ALBERT RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157114",
            "telephone_number": "561-574-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 ALBERT RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157114",
            "telephone_number": "561-574-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MEDINA",
        "first_name": "YEDNIBET",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM103475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.