Active NPI
Yvette Darrisaw
- Home Health Aide
- West Palm Beach, FL
National Provider Identifier
1306149133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 3689
- Practice address
- 9352 Nugent TRL
West Palm Beach, FL 33411-6328 - Phone
- (561) 379-5934
- Fax
- (561) 828-2460
- NPI assigned
- Dec 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 3689 | FL | Primary |
Addresses
Primary practice location
9352 Nugent TRL
West Palm Beach, FL 33411-6328
Mailing address
9352 Nugent TRL
West Palm Beach, FL 33411-6328
Phone (561) 379-5934
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3689 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1306149133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9352 NUGENT TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334116328",
"telephone_number": "561-379-5934",
"fax_number": "561-828-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9352 NUGENT TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334116328",
"telephone_number": "561-379-5934",
"fax_number": "561-828-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARRISAW",
"first_name": "YVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-16",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "3689",
"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 Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.