Individual provider Active NPI

Yvonne Cawley, ARNP

  • Nurse Practitioner
  • Ft Lauderdale, FL
National Provider Identifier
1396807095
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 1942092 Issued in FL
Practice address
400 NE 51St CT
Ft Lauderdale, FL 33334-2432
Phone
(954) 771-6250
Fax
(954) 489-3060
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 1942092 FL
Nurse Practitioner 363L00000X ARNP 1942092 FL Primary

Addresses

Primary practice location

400 NE 51St CT
Ft Lauderdale, FL 33334-2432

Mailing address

400 NE 51 Court
Ft. Lauderdale, FL 33334-2432
Phone (954) 771-6250

Other identifiers 1

IdentifierTypeStateIssuer
311625500MedicaidFL

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
I20131119001611 FL Practitioner - Nurse Practitioner 8921234097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1942092FLMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1396807095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NE 51 COURT",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "333342432",
            "telephone_number": "954-771-6250",
            "fax_number": "954-489-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE 51ST CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333342432",
            "telephone_number": "954-771-6250",
            "fax_number": "954-489-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAWLEY",
        "first_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "1942092",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1942092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311625500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.