Individual provider Active NPI

Yolisa Tiffany Roman, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1366933863
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034613 Issued in FL
Practice address
1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200
Phone
(239) 772-0111
Fax
(239) 772-0267
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Registered Nurse 163W00000X 9596332 FL
Family Nurse Practitioner 363LF0000X 11034613 FL Primary

Addresses

Primary practice location

1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200

Mailing address

2914 NW 5TH Ave
Cape Coral, FL 33993-6756
Phone (239) 770-7263

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
I20241202001305 FL Practitioner - Nurse Practitioner 9830624790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9596332FLMDRegistered Nurse
11034613FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Operation Phoenix Men'S Health PLLC CurrentSince Sep 1, 2025 Accepting new patients
M & H Med Housecalls, LLC CurrentSince Dec 9, 2024 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Apr 1, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

1834A Jaclif Ct
Tallahassee, FL 32308
Phone (888) 280-1988

Organizations & group practices 4

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1366933863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 NW 5TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936756",
            "telephone_number": "239-770-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 VISCAYA PKWY STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906200",
            "telephone_number": "239-772-0111",
            "fax_number": "239-772-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "YOLISA",
        "middle_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9596332",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.