Individual provider Active NPI

Yenny Porrata, ARNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1316453020
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9214644 Issued in FL
Practice address
16320 SW 66TH St
Miami, FL 33193-5587
Phone
(786) 280-4187
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9214644 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9214644 FL Primary

Addresses

Primary practice location

16320 SW 66TH St
Miami, FL 33193-5587

Mailing address

16320 SW 66TH St
Miami, FL 33193-5587
Phone (786) 280-4187

Other practice location 1

1951 NW 17th Ave
Miami, FL 33125-1547
Phone (305) 774-9570

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
I20200519002277 FL Practitioner - Nurse Practitioner 5193824332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sapphire Mental Health Center LLCGroup PAC ID 3870914864, shared by 2 NPIs, 6 clinicians
Syx CorpGroup PAC ID 2567688625, 5 clinicians

Practice addresses (Care Compare)

10250 SW 56TH St
Suite C202
Miami, FL 33165-7098
Phone (754) 816-5001

1300 Coral Way
Suite 208
Miami, FL 33145-2934
Phone (305) 854-7952

4215 SW 72ND Ave
Miami, FL 33155-4510
Phone (305) 377-3297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9214644FLMDFamily Nurse Practitioner
APRN9214644FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syx, Corp. CurrentSince Jun 29, 2021 Accepting new patients

Locations

4215 SW 72nd Ave
Miami, FL 33155
Phone (305) 377-3297

Organizations & group practices 2

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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1316453020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16320 SW 66TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935587",
            "telephone_number": "786-280-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16320 SW 66TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935587",
            "telephone_number": "786-280-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 NW 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251547",
            "country_code": "US",
            "telephone_number": "305-774-9570",
            "fax_number": "305-774-9573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORRATA",
        "first_name": "YENNY",
        "credential": "ARNP - BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9214644",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9214644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.