Active NPI
Younetic LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1285391144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- YOUNETIC LLC
- Practice address
- 122 E Main St Ste 186
Lakeland, FL 33801-4655 - Phone
- (863) 268-7990
- Fax
- (863) 204-0648
- NPI assigned
- Nov 25, 2021
- Last updated
- May 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianne Kelly Smith
- Title
- Operator
- Phone
- (863) 268-7990
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
122 E Main St Ste 186
Lakeland, FL 33801-4655
Mailing address
122 E Main St Ste 186
Lakeland, FL 33801-4655
Phone (863) 268-7990
National Provider Directory
National Provider DirectoryLocations
122 E Main St
Ste 186
Lakeland, FL 33801
Phone (863) 268-7990
207 N Church Ave
Mulberry, FL 33860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1285391144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E MAIN ST STE 186",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014655",
"telephone_number": "863-268-7990",
"fax_number": "863-204-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E MAIN ST STE 186",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014655",
"telephone_number": "863-268-7990",
"fax_number": "863-204-0648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNETIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-25",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "KELLY SMITH",
"authorized_official_first_name": "DIANNE",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "863-268-7990"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.