Individual provider Active NPI

Yuliett Collazo

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1396136776
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013908 Issued in FL
Practice address
7800 N University Dr
Tamarac, FL 33321-2128
Phone
(954) 670-1170
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Family Nurse Practitioner 363LF0000X 11013908 FL Primary

Addresses

Primary practice location

7800 N University Dr
Tamarac, FL 33321-2128

Mailing address

5630 NE 5TH Ter
Oakland Park, FL 33334-1736
Phone (954) 696-2106

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
I20221005000405 FL Practitioner - Nurse Practitioner 6103202767 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
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

7800 N University Dr
Tamarac, FL 33321-2128
Phone (954) 670-1170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013908FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Claremedica Viking LLC CurrentSince Oct 14, 2025 Accepting new patients
Healthstone Primary Care Partners LLC CurrentSince Oct 11, 2022 Accepting new patients

Locations

4705 SW 148th Ave
Ste 102
Davie, FL 33330

1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (800) 957-8288

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

1000 NW 57th Ct
Ste 400
Miami, FL 33126

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

12301 Taft St
Ste 100
Pembroke Pines, FL 33026
Phone (954) 495-4491

7800 N University Dr
Tamarac, FL 33321
Phone (954) 670-1170

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1396136776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 NE 5TH TER",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341736",
            "telephone_number": "954-696-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212128",
            "telephone_number": "954-670-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "YULIETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.