Individual provider Active NPI

Yaritza Pena Curbelo

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1295418002
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06231534 Issued in FL
Practice address
2512 Bimini LN
Fort Lauderdale, FL 33312-4750
Phone
(954) 774-9252
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 F06231534 FL Primary

Addresses

Primary practice location

2512 Bimini LN
Fort Lauderdale, FL 33312-4750

Mailing address

2512 Bimini LN
Fort Lauderdale, FL 33312-4750
Phone (954) 774-9252

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
I20250106001864 FL Practitioner - Nurse Practitioner 8921536814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06231534FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1295418002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 BIMINI LN",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124750",
            "telephone_number": "954-774-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 BIMINI LN",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124750",
            "telephone_number": "954-774-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA CURBELO",
        "first_name": "YARITZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F06231534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.