Yaudel Angel Palenzuela Becerra

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4024557 Issued in KY

Practice address

5340 Ilex Ave
Louisville, KY 40213-3018

Phone

(786) 712-5958

NPI assigned

Jul 31, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1376372979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 ILEX AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402133018",
            "telephone_number": "786-712-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 ILEX AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402133018",
            "telephone_number": "786-712-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENZUELA BECERRA",
        "first_name": "YAUDEL",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4024557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke August Pakosta, DC
• Mariana Yvonne Palacios, M.D.
• Adriana E. Palade, M.D.
• Rajaneeshankar Palani, MBBS, MD, DNB
• Michelle Deanne Palazzo, M.D.
• Jill Palladino
• Samuel Pallapati, MD
• Clara Ann Pallares, MD
• David E Pallares, M.D.
• Rohit Pallasena, PHARM.D.

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.