Active NPI
Yolisa Tiffany Roman, APRN
- Family Nurse Practitioner
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11034613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9596332 | FL | MD | Registered Nurse |
| 11034613 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Operation Phoenix Men'S Health PLLC | Current | Accepting new patients | |
| M & H Med Housecalls, LLC | Current | Accepting new patients | |
| Intensive Care Experts Health Network LLC | Current | Accepting new patients | |
| Intensive Care Experts Health Network LLC | Current | 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.
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- Pulmonary Disease Physician
- Hallandale Beach, FL
- NPI 1164824397
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1427548304
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1811745094
-
- Acute Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1184596637
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.