Individual provider Active NPI

Yanet Perez Sori

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1285361204
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020907 Issued in FL
Practice address
10420 SW 154TH CT Apt 3
Miami, FL 33196-2767
Phone
(786) 646-7419
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 11020907 FL Primary

Addresses

Primary practice location

10420 SW 154TH CT Apt 3
Miami, FL 33196-2767

Mailing address

10420 SW 154TH CT Apt 3
Miami, FL 33196-2767
Phone (786) 646-7419

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
I20231027000181 FL Practitioner - Nurse Practitioner 3072969062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Medical Group PLGroup PAC ID 8224266655, 68 clinicians

Practice addresses (Care Compare)

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11020907FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group, PL Family CurrentSince Nov 1, 2023 Accepting new patients

Locations

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 1

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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1285361204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 SW 154TH CT APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962767",
            "telephone_number": "786-646-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 SW 154TH CT APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962767",
            "telephone_number": "786-646-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SORI",
        "first_name": "YANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.