Organization Active NPI

Anna-Marie Veneracion-Yumul, MD, PA

  • Psychiatry Physician
  • Orange Park, FL
National Provider Identifier
1316347693
Registry record updated Aug 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME92819 Issued in FL
Legal business name
ANNA-MARIE VENERACION-YUMUL, MD, PA
Practice address
1409 Kingsley Ave
Ste 9E
Orange Park, FL 32073-4537
Phone
(904) 215-4151
Fax
(904) 215-4165
NPI assigned
Aug 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2014

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

Authorized official

Name
Dr. Anna-Marie M. Veneracion-Yumul, M.D.
Title
Owner
Phone
(904) 215-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME92819 FL Primary

Addresses

Primary practice location

1409 Kingsley Ave
Ste 9E
Orange Park, FL 32073-4537

Mailing address

1409 Kingsley Ave
Ste 9E
Orange Park, FL 32073-4537
Phone (904) 215-4151

Other names 1

  • North Florida Family Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1409 Kingsley Ave
Ste 9E
Orange Park, FL 32073
Phone (904) 215-4151

NPI Registry JSON

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408838400000",
    "number": "1316347693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE",
            "address_2": "STE 9E",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-215-4151",
            "fax_number": "904-215-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE",
            "address_2": "STE 9E",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-215-4151",
            "fax_number": "904-215-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA-MARIE VENERACION-YUMUL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-24",
        "last_updated": "2014-08-24",
        "status": "A",
        "authorized_official_last_name": "VENERACION-YUMUL",
        "authorized_official_first_name": "ANNA-MARIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-215-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME92819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Family Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2014; 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.