Individual provider Active NPI

Yudit Odicio Diago, APRN

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1346127891
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11040382 Issued in FL
Practice address
1402 Royal Palm Beach Blvd Ste 200
Royal Palm Beach, FL 33411-1668
Phone
(561) 907-4888
Fax
(561) 429-2530
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 APRN11040382 FL Primary

Addresses

Primary practice location

1402 Royal Palm Beach Blvd Ste 200
Royal Palm Beach, FL 33411-1668

Mailing address

1402 Royal Palm Beach Blvd Ste 200
Royal Palm Beach, FL 33411-1668
Phone (561) 907-4888

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
I20250917000015 FL Practitioner - Nurse Practitioner 2365946084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1572 Live Oak Dr
West Palm Beach, FL 33415-5533

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center PA 10 CurrentSince Aug 25, 2025 Accepting new patients

Locations

1402 Royal Palm Beach Blvd
Ste 200
Royal Palm Beach, FL 33411
Phone (561) 907-4888

Organizations & group practices 1

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1346127891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD STE 200",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111668",
            "telephone_number": "561-907-4888",
            "fax_number": "561-429-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD STE 200",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111668",
            "telephone_number": "561-907-4888",
            "fax_number": "561-429-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODICIO DIAGO",
        "first_name": "YUDIT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.